Active NPI
Alive and Well Community Urgent Care LLC
- Urgent Care Clinic/Center
- Miami Gardens, FL
National Provider Identifier
1376303487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- Legal business name
- ALIVE AND WELL COMMUNITY URGENT CARE LLC
- Practice address
- 18405 NW 2ND Ave Ste B
Miami Gardens, FL 33169-4505 - Phone
- (800) 434-1366
- NPI assigned
- Mar 19, 2024
- Last updated
- Mar 20, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Calvanetta Franklin
- Title
- Director
- Phone
- (954) 505-1501
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | NU | Primary |
Addresses
Primary practice location
18405 NW 2ND Ave Ste B
Miami Gardens, FL 33169-4505
Mailing address
18405 NW 2ND Ave Ste B
Miami Gardens, FL 33169-4505
Phone (800) 434-1366
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2304660 | Alive and Well Community Urgent Care LLC | Certificate of waiver | May 15, 2028 |
National Provider Directory
National Provider DirectoryLocations
18405 NW 2nd Ave
Ste B
Miami Gardens, FL 33169
Phone (800) 434-1366
Practitioners & affiliated clinicians
Practitioners 10
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.
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- NPI 1871598904
-
- Family Nurse Practitioner
- Lauderhill, FL
- NPI 1962207845
-
- Family Medicine Physician
- Miami Gardens, FL
- NPI 1780632612
-
- Family Medicine Physician
- Coconut Creek, FL
- NPI 1093132367
-
- Endocrinology, Diabetes & Metabolism Physician
- Boca Raton, FL
- NPI 1992768592
-
- Cardiovascular Disease Physician
- Miami Beach, FL
- NPI 1295765659
-
- Obstetrics & Gynecology Physician
- Miami, FL
- NPI 1982787735
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710806400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1710892800000",
"number": "1376303487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18405 NW 2ND AVE STE B",
"city": "MIAMI GARDENS",
"state": "FL",
"postal_code": "331694505",
"telephone_number": "800-434-1366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18405 NW 2ND AVE STE B",
"city": "MIAMI GARDENS",
"state": "FL",
"postal_code": "331694505",
"telephone_number": "800-434-1366"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALIVE AND WELL COMMUNITY URGENT CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-03-19",
"last_updated": "2024-03-20",
"certification_date": "2024-03-20",
"status": "A",
"authorized_official_last_name": "FRANKLIN",
"authorized_official_first_name": "CALVANETTA",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "954-505-1501"
},
"taxonomies": [
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami Gardens, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.