Concordia Health Centers LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

CONCORDIA HEALTH CENTERS LLC

Practice address

9627 S Dixie Hwy Ste 100
Pinecrest, FL 33156-2804

Phone

(305) 603-9731

NPI assigned

Apr 7, 2021

Last updated

Oct 16, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

December Crystal Nunez

Title

Ceo

Phone

(305) 603-9731

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1617753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665878400000",
    "number": "1376122283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9627 S DIXIE HWY STE 100",
            "city": "PINECREST",
            "state": "FL",
            "postal_code": "331562804",
            "telephone_number": "305-603-9731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9627 S DIXIE HWY STE 100",
            "city": "PINECREST",
            "state": "FL",
            "postal_code": "331562804",
            "telephone_number": "305-603-9731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCORDIA HEALTH CENTERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-07",
        "last_updated": "2022-10-16",
        "certification_date": "2022-10-16",
        "status": "A",
        "authorized_official_last_name": "NUNEZ",
        "authorized_official_first_name": "DECEMBER",
        "authorized_official_middle_name": "CRYSTAL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "305-603-9731"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Pinecrest, FL
• Providers in Pinecrest, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2022; 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.