Complex Clinical Management, Inc

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

Legal business name

COMPLEX CLINICAL MANAGEMENT, INC

Practice address

700 W Hillsboro Blvd
Building 1, Suite 203
Deerfield Beach, FL 33441-1609

Phone

(866) 448-7716

Fax

(954) 843-7307

NPI assigned

Feb 27, 2012

Organization subpart

Yes

Parent organization

SENIORBRIDGE FAMILY COMPANIES (FL), INC.As reported in NPPES

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

Authorized official

Name

Dr. Philip Painter, M.D.

Title

President

Phone

(212) 994-6000

Specialties & licenses 2

Addresses

Other names 1

• Your Home Advantage Doing business as

Part of

Seniorbridge Family Companies FL Inc

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

{
    "created_epoch": "1330300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537488000000",
    "number": "1285908087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 W MAIN ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402022946",
            "telephone_number": "866-448-7716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 W HILLSBORO BLVD",
            "address_2": "BUILDING 1, SUITE 203",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334411609",
            "telephone_number": "866-448-7716",
            "fax_number": "954-843-7307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLEX CLINICAL MANAGEMENT, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SENIORBRIDGE FAMILY COMPANIES (FL), INC.",
        "enumeration_date": "2012-02-27",
        "last_updated": "2018-09-21",
        "status": "A",
        "authorized_official_last_name": "PAINTER",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-994-6000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Your Home Advantage",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Your Home Advantage",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Geriatric Medicine (Internal Medicine) Physician in Deerfield Beach, FL
• Providers in Deerfield Beach, FL by specialty
• Geriatric Medicine (Internal Medicine) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2018; 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.