Carol City Med Plus Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

HCCR2188 Issued in FL

Legal business name

CAROL CITY MED PLUS INC

Practice address

18373 NW 27TH Ave
Carol City, FL 33056-3169

Phone

(305) 625-9088

Fax

(305) 625-0857

NPI assigned

Oct 19, 2005

Last updated

May 21, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Pierre R Bleniur, MD

Title

President

Phone

(305) 625-9088

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Networks

• HealthSun Health Plans Network

Practitioners 2

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.

• Pierre R Blemur, MD

  • General Practice Physician
  • Opa Locka, FL
  • NPI 1730177098
  Medicare reassignment
• Laila F Chagani, M.D.

  • Internal Medicine Physician
  • Opa Locka, FL
  • NPI 1225026586
  NPD (past)

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

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337558400000",
    "number": "1639168800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18373 NW 27TH AVE",
            "city": "CAROL CITY",
            "state": "FL",
            "postal_code": "330563169",
            "telephone_number": "305-625-9088",
            "fax_number": "305-625-0857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18373 NW 27TH AVE",
            "city": "CAROL CITY",
            "state": "FL",
            "postal_code": "330563169",
            "telephone_number": "305-625-9088",
            "fax_number": "305-625-0857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROL CITY MED PLUS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-19",
        "last_updated": "2012-05-21",
        "status": "A",
        "authorized_official_last_name": "BLENIUR",
        "authorized_official_first_name": "PIERRE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-625-9088",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "HCCR2188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessie Trice Community Health System Inc
• Pedro E Rodriguez

• Family Medicine Physician in Carol City, FL
• Providers in Carol City, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2012; 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.

Verify at the official NPI Registry.