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
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2227766 | Agape Health Medical Group LLC Dba | Certificate of waiver | Jun 15, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
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
Other providers in Tavernier, FL
- 855-411-4-HRT Corp
- Dayron L Acebo
- Advanced Behavior Opportunities Inc
- Affiliated Healthcare Centers, Inc
- Agapemd, LLC
- Christine Aggelis
- Tatiana Agudedlo
- Marilyn R. Allen
- Altantic Key West Ambulance Inc
All providers in Tavernier, FL · Urgent Care Clinic/Center in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 14, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.