Agape Health Medical Group LLC

Organization Active NPI Urgent Care Clinic/Center · Tavernier, FL

NPI 1376120477 · NPPES record last updated Jul 14, 2026

Key facts

NPI
1376120477
Entity type
Organization (NPI type 2)
Primary specialty
Urgent Care Clinic/Center 261QU0200X
Legal business name
AGAPE HEALTH MEDICAL GROUP LLC
Practice address
90130 Old Hwy # B
Tavernier, FL 33070-2368
Phone
(305) 852-9300
NPI assigned
Mar 25, 2021
Organization subpart
No

Authorized official

Name
Sherry Goodwyn, LPN
Title
Office Manager
Phone
(305) 852-9300

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2227766Agape Health Medical Group LLC Dba
90130 Old Highway #B, Tavernier, FL 33070
Certificate of waiverJun 15, 2027

Medicare participation

Medicare fee-for-service enrollment
Enrolled in FL

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20210510000757 FL Part B Supplier - Clinic/Group Practice 1456760115 Receives reassigned benefits from 1 practitioner
Practice locations: South Miami, FL

National Provider Directory

Locations

90130 Old Hwy
#B
Tavernier, FL 33070
Phone (305) 852-9300

90130 Old Hwy
Ste B
Tavernier, FL 33070

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207Q00000X
Urgent Care Clinic/Center 261QU0200X Yes

Addresses

Primary practice location

90130 Old Hwy # B
Tavernier, FL 33070-2368

Mailing address

101425 Overseas Hwy # 245
Key Largo, FL 33037-4505
Phone (305) 852-7474

Other names

  • Island Urgent Care Doing business as

Other providers in Tavernier, FL

All providers in Tavernier, FL · Urgent Care Clinic/Center in Florida

Sources for this page

Verify at the official NPI Registry.