LCC Medical Group, Corp

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

ARNP9311339 Issued in FL

Legal business name

LCC MEDICAL GROUP, CORP

Practice address

1150 NW 72ND Ave Ste 620
Miami, FL 33126-1921

Phone

(305) 403-2221

Fax

(305) 403-2262

NPI assigned

Dec 4, 2014

Organization subpart

No

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

Authorized official

Name

Ms. Vivian Salinas, ARNP

Title

President

Phone

(305) 403-2221

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1417651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417651200000",
    "number": "1386041408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 NW 72ND AVE STE 620",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331261921",
            "telephone_number": "305-403-2221",
            "fax_number": "305-403-2262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 NW 72ND AVE STE 620",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331261921",
            "telephone_number": "305-403-2221",
            "fax_number": "305-403-2262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LCC MEDICAL GROUP, CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-04",
        "last_updated": "2014-12-04",
        "status": "A",
        "authorized_official_last_name": "SALINAS",
        "authorized_official_first_name": "VIVIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-403-2221",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ARNP9311339",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9311339",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• LC Health Management LLC
• LC Health Management LLC
• LC Health Management LLC
• LC Health Management LLC
• LC Therapy Services, Inc.
• LCC Medical Research Institute, LLC
• LCS Services Capaz L.L.C
• Lcy Family Care Transport LLC
• LD Community Mental Health Corp
• LDL Massagee, Inc.

• Primary Care Clinic/Center in Miami, FL
• Providers in Miami, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2014; 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.