Claremedica Mso, LLC.

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

Legal business name

CLAREMEDICA MSO, LLC.

Practice address

14750 NW 77TH CT Ste 100
Miami Lakes, FL 33016-1507

Phone

(786) 485-1005

Fax

(786) 441-2156

NPI assigned

Nov 5, 2016

Organization subpart

No

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

Authorized official

Name

Mark Lorin Mullinix

Title

Ceo

Phone

(786) 758-3135

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1478304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682899200000",
    "number": "1386186567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14750 NW 77TH CT STE 100",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330161507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14750 NW 77TH CT STE 100",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330161507",
            "telephone_number": "786-485-1005",
            "fax_number": "786-441-2156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAREMEDICA MSO, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-05",
        "last_updated": "2023-05-01",
        "certification_date": "2021-08-10",
        "status": "A",
        "authorized_official_last_name": "MULLINIX",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "LORIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "786-758-3135"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Exclusive Provider Organization in Miami Lakes, FL
• Providers in Miami Lakes, FL by specialty
• Exclusive Provider Organization in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2023; 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.