Complete Care Medical Center, Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

COMPLETE CARE MEDICAL CENTER, INC

Practice address

189 N State Road 7
Plantation, FL 33317-3100

Phone

(954) 316-2442

Fax

(954) 316-2119

NPI assigned

Nov 11, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Christina Newberg

Title

Administrator

Phone

(786) 295-3167

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1384128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384128000000",
    "number": "1255760252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "189 N STATE ROAD 7",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333173100",
            "telephone_number": "954-316-2442",
            "fax_number": "954-316-2119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "189 N STATE ROAD 7",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333173100",
            "telephone_number": "954-316-2442",
            "fax_number": "954-316-2119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE CARE MEDICAL CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-11",
        "last_updated": "2013-11-11",
        "status": "A",
        "authorized_official_last_name": "NEWBERG",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "786-295-3167"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Plantation, FL
• Providers in Plantation, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.