Organization Active NPI

Florida Health Care Clinic, LLC

  • Mental Health Counselor
  • Miami, FL
National Provider Identifier
1629800693
Registry record updated Aug 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
FLORIDA HEALTH CARE CLINIC, LLC
Practice address
9350 Sunset Dr Ste C105
Miami, FL 33173-3286
Phone
(305) 200-5765
Fax
(305) 200-5791
NPI assigned
Aug 17, 2024
Organization subpart
Yes
Parent organization
FLORIDA HEALTH CARE CLINIC, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 17, 2024

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

Authorized official

Name
Dinora Shervington, LMFTNPI 1093856445
Title
Ceo
Phone
(786) 945-0628

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

9350 Sunset Dr Ste C105
Miami, FL 33173-3286

Mailing address

9350 Sunset Dr Ste C105
Miami, FL 33173-3286
Phone (305) 200-5765

Other names 1

  • FLORIDA HEALTH CARE CLINIC, LLC Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Florida Health Care Clinic LLC2 organizations share this tax ID, including this one
Part of
Florida Health Care Clinic LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

9350 Sunset Dr
Ste C105
Miami, FL 33173
Phone (305) 200-5765

Networks

  • HealthSun Health Plans Network

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.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1723852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723852800000",
    "number": "1629800693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9350 SUNSET DR STE C105",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733286",
            "telephone_number": "305-200-5765",
            "fax_number": "305-200-5791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9350 SUNSET DR STE C105",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733286",
            "telephone_number": "305-200-5765",
            "fax_number": "305-200-5791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA HEALTH CARE CLINIC, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FLORIDA HEALTH CARE CLINIC, LLC",
        "enumeration_date": "2024-08-17",
        "last_updated": "2024-08-17",
        "certification_date": "2024-08-17",
        "status": "A",
        "authorized_official_last_name": "SHERVINGTON",
        "authorized_official_first_name": "DINORA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "786-945-0628",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FLORIDA HEALTH CARE CLINIC, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2024; 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.