NPIMap

Organization Active NPI

Complete Local Specialty Care, Inc.

Doing business as CLSC

  • Family Medicine Physician
  • Boca Raton, FL
National Provider Identifier
1326035312
Registry record updated Jun 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
COMPLETE LOCAL SPECIALTY CARE, INC.
Doing business as
CLSC
Practice address
950 Glades Rd Ste 4a
Boca Raton, FL 33431-6401
Phone
(561) 391-8086
NPI assigned
Oct 4, 2005
Last updated
Jun 4, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2021

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

Authorized official

Name
Chantal Bray, BA
Title
Administrator
Phone
(954) 418-1683

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

950 Glades Rd Ste 4a
Boca Raton, FL 33431-6401

Mailing address

4855 W. Hillsboro Blvd Ste B 2
Coconut Creek, FL 33073-4356
Phone (954) 418-1683

Other names 1

  • CLSC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
CLSC Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

106 NE 2nd St
Boca Raton, FL 33432
Phone (561) 391-8086

Practitioners & affiliated clinicians

Practitioners 37

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 37

NPI Registry JSON

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

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622764800000",
    "number": "1326035312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4855 W. HILLSBORO BLVD STE B 2",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330734356",
            "telephone_number": "954-418-1683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 GLADES RD STE 4A",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316401",
            "telephone_number": "561-391-8086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE LOCAL SPECIALTY CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-04",
        "last_updated": "2021-06-04",
        "certification_date": "2021-06-04",
        "status": "A",
        "authorized_official_last_name": "BRAY",
        "authorized_official_first_name": "CHANTAL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "954-418-1683",
        "authorized_official_credential": "BA"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CLSC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CLSC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2021; 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.