Organization Active NPI

JCC Group Service Inc

  • Primary Care Clinic/Center
  • Fort Lauderdale, FL
National Provider Identifier
1508661695
Registry record updated Feb 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
JCC GROUP SERVICE INC
Practice address
2950 W Cypress Creek Rd Ste 304
Fort Lauderdale, FL 33309-1796
Phone
(786) 896-0648
NPI assigned
Feb 13, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2025

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

Authorized official

Name
Julio Cesar Calana Hernandez
Title
Owner
Phone
(786) 896-0648

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

2950 W Cypress Creek Rd Ste 304
Fort Lauderdale, FL 33309-1796

Mailing address

2950 W Cypress Creek Rd Ste 304
Fort Lauderdale, FL 33309-1796

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1739404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740614400000",
    "number": "1508661695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2950 W CYPRESS CREEK RD STE 304",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333091796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 W CYPRESS CREEK RD STE 304",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333091796",
            "telephone_number": "786-896-0648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JCC GROUP SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-13",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "JULIO",
        "authorized_official_middle_name": "CESAR CALANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-896-0648"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "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 Feb 27, 2025; 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.