Active NPI
Corcoba Family Health Care
- Primary Care Clinic/Center
- Champions Gate, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- CORCOBA FAMILY HEALTH CARE
- Practice address
- 8390 Champions Gate Blvd Ste 108
Champions Gate, FL 33896-8311 - Phone
- (863) 521-4497
- Fax
- (815) 205-4677
- NPI assigned
- Oct 20, 2025
- Last updated
- Oct 20, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Elizabeth Leon Corcoba, NURSE PACTITIONER
- Title
- Owner
- Phone
- (816) 682-7985
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
8390 Champions Gate Blvd Ste 108
Champions Gate, FL 33896-8311
Mailing address
8390 Champions Gate Blvd Ste 108
Champions Gate, FL 33896-8311
Phone (863) 521-4497
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2335477 | Corcoba Family Health Care LLC | Certificate of waiver | Dec 10, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Family Nurse Practitioner
- Champions Gate, FL
- NPI 1740948355
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1760918400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1760918400000",
"number": "1639046345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8390 CHAMPIONS GATE BLVD STE 108",
"city": "CHAMPIONS GATE",
"state": "FL",
"postal_code": "338968311",
"telephone_number": "863-521-4497",
"fax_number": "815-205-4677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8390 CHAMPIONS GATE BLVD STE 108",
"city": "CHAMPIONS GATE",
"state": "FL",
"postal_code": "338968311",
"telephone_number": "863-521-4497",
"fax_number": "815-205-4677"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CORCOBA FAMILY HEALTH CARE",
"organizational_subpart": "NO",
"enumeration_date": "2025-10-20",
"last_updated": "2025-10-20",
"certification_date": "2025-10-19",
"status": "A",
"authorized_official_last_name": "LEON CORCOBA",
"authorized_official_first_name": "ELIZABETH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "816-682-7985",
"authorized_official_credential": "NURSE PACTITIONER"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Champions Gate, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.