C1 Managed Care Partners

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

Legal business name

C1 MANAGED CARE PARTNERS

Practice address

2400 E Commercial Blvd
Ste 101
Fort Lauderdale, FL 33308-4030

Phone

(954) 703-6065

Fax

(888) 972-1875

NPI assigned

Oct 20, 2015

Last updated

Oct 20, 2015By 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

Mary C Martinez

Title

VP Operations

Phone

(954) 703-6065

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1445299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445299200000",
    "number": "1467824250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 E COMMERCIAL BLVD",
            "address_2": "STE 101",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333084030",
            "telephone_number": "954-703-6065",
            "fax_number": "888-972-1875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 E COMMERCIAL BLVD",
            "address_2": "STE 101",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333084030",
            "telephone_number": "954-703-6065",
            "fax_number": "888-972-1875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C1 MANAGED CARE PARTNERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-20",
        "last_updated": "2015-10-20",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "VP OPERATIONS",
        "authorized_official_telephone_number": "954-703-6065"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Exclusive Provider Organization in Fort Lauderdale, FL
• Providers in Fort Lauderdale, 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 Oct 20, 2015; 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.