Organization Active NPI

Caremax Medical Centers of Central Florida LLC

  • Clinic/Center
  • Clermont, FL
National Provider Identifier
1477222875
Registry record updated Mar 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
CAREMAX MEDICAL CENTERS OF CENTRAL FLORIDA LLC
Practice address
701 E Sr 50 Ste 731C
Clermont, FL 34711-3165
Phone
(321) 235-6230
NPI assigned
Sep 9, 2021
Last updated
Mar 21, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
CAREMAX MEDICAL CENTERS OF CENTRAL FLORIDA LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 21, 2022

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

Authorized official

Name
Joseph Nicholas De Vera
Title
Cco
Phone
(786) 200-8305

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

701 E Sr 50 Ste 731C
Clermont, FL 34711-3165

Mailing address

1000 NW 57TH CT Ste 400
Miami, FL 33126-3292
Phone (786) 360-4768

National Provider Directory

National Provider Directory
Part of
Caremax Medical Centers of Central Florida LLC

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1631145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647820800000",
    "number": "1477222875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 NW 57TH CT STE 400",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263292",
            "telephone_number": "786-360-4768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 E SR 50 STE 731C",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347113165",
            "telephone_number": "321-235-6230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREMAX MEDICAL CENTERS OF CENTRAL FLORIDA LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CAREMAX MEDICAL CENTERS OF CENTRAL FLORIDA LLC",
        "enumeration_date": "2021-09-09",
        "last_updated": "2022-03-21",
        "certification_date": "2022-03-21",
        "status": "A",
        "authorized_official_last_name": "DE VERA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "NICHOLAS",
        "authorized_official_title_or_position": "CCO",
        "authorized_official_telephone_number": "786-200-8305"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2022; 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.