CCRM Florida Surgery LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

CCRM FLORIDA SURGERY LLC

Practice address

19505 Biscayne Blvd Ste 2230
Miami, FL 33180-3644

Phone

(305) 526-4530

Fax

(833) 983-0045

NPI assigned

Nov 19, 2024

Organization subpart

No

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

Authorized official

Name

Matt Tyson

Title

Director, Managed Care Contracting

Phone

(615) 477-6677

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1731974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779062400000",
    "number": "1619792215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19505 BISCAYNE BLVD STE 2230",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331803644",
            "telephone_number": "305-526-4530",
            "fax_number": "305-985-5815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19505 BISCAYNE BLVD STE 2230",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331803644",
            "telephone_number": "305-526-4530",
            "fax_number": "833-983-0045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CCRM FLORIDA SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-19",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A",
        "authorized_official_last_name": "TYSON",
        "authorized_official_first_name": "MATT",
        "authorized_official_title_or_position": "DIRECTOR, MANAGED CARE CONTRACTING",
        "authorized_official_telephone_number": "615-477-6677"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• CCC Home Care Support LLC
• CCR Medical Center, LLC.
• CCRM Florida LLC
• CCRM Florida LLC
• CCRM Florida LLC
• CDC Medical Group LLC
• CDH Counseling Services Inc.
• Cdixon Incorporated
• CDR Maguire Inc
• CDRS Pediatrics MDS PA

• Ambulatory Surgical Clinic/Center in Miami, FL
• Providers in Miami, FL by specialty
• Ambulatory Surgical Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2026; 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.