Organization Active NPI

Cleveland Clinic Florida Concierge

  • Family Medicine Physician
  • Fort Lauderdale, FL
National Provider Identifier
1467967695
Registry record updated Mar 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CLEVELAND CLINIC FLORIDA CONCIERGE
Practice address
1301 E Broward Blvd Ste 305
Ft Lauderdale, FL 33301-2152
Phone
(866) 293-7866
NPI assigned
Dec 11, 2017
Organization subpart
Yes
Parent organization
CLEVELAND CLINIC FLORIDA HEALTH SYSTEM NONPROFIT CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 12, 2019

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

Authorized official

Name
Michael P Harrington
Title
Chief Accounting Officer/Controller
Phone
(216) 445-8990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1301 E Broward Blvd Ste 305
Ft Lauderdale, FL 33301-2152

Mailing address

6801 Brecksville Rd
Ste 20, RK2-7
Independence, OH 44131
Phone (216) 636-4969

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2143943Cleveland Clinic Florida Concierge Medicine1301 E Broward Blvd Ste 305, Fort Lauderdale, FL 33301Certificate of waiverFeb 7, 2028

National Provider Directory

National Provider Directory
Part of
Cleveland Clinic Florid

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1301 E Broward Blvd
Ste 305
Ft Lauderdale, FL 33301
Phone (866) 293-7866

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1512950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552348800000",
    "number": "1467967695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6801 BRECKSVILLE RD",
            "address_2": "STE 20, RK2-7",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "44131",
            "telephone_number": "216-636-4969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 E BROWARD BLVD STE 305",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333012152",
            "telephone_number": "866-293-7866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEVELAND CLINIC FLORIDA CONCIERGE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CLEVELAND CLINIC FLORIDA HEALTH SYSTEM NONPROFIT CORPORATION",
        "enumeration_date": "2017-12-11",
        "last_updated": "2019-03-12",
        "status": "A",
        "authorized_official_last_name": "HARRINGTON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CHIEF ACCOUNTING OFFICER/CONTROLLER",
        "authorized_official_telephone_number": "216-445-8990"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.