Individual provider Active NPI

Cantave Charlot, MD

  • General Practice Physician
  • North Miami, FL
National Provider Identifier
1679026983
Registry record updated Jan 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ACN888 Issued in FL
Practice address
1200 NE 125TH St
North Miami, FL 33161-5936
Phone
(305) 685-5688
Fax
(305) 688-7995
NPI assigned
Aug 3, 2016
Last updated
Jan 17, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X ACN888 FL Primary

Addresses

Primary practice location

1200 NE 125TH St
North Miami, FL 33161-5936

Mailing address

30 E Elm St Apt 3G
Linden, NJ 07036-2976
Phone (732) 481-9442

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cantave.charlot@conviva.eclinicaldirectplus.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170727001953 FL Practitioner - General Practice 7618247313 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Conviva Medical Center Management, LLCGroup PAC ID 4284717422, 507 clinicians

Practice addresses (Care Compare)

900 SW Saint Lucie W Blvd
Port St Lucie, FL 34986-1766
Phone (772) 877-3591

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Holy Land Medical Center Multi-Specialty CurrentSince Nov 1, 2025 Accepting new patients
Metcare of Florida, Inc CurrentSince Sep 11, 2023 Accepting new patients
Conviva Medical Center Management LLC Multi-Specialty CurrentSince Aug 1, 2024 Accepting new patients
Metcare of Florida, Inc Multi-Specialty CurrentSince Sep 11, 2023 Accepting new patients

Locations

6221 N Federal Hwy
Ft Lauderdale, FL 33308
Phone (954) 491-1686

90 N Main St
Labelle, FL 33935
Phone (863) 261-1627

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

1430 SW Saint Lucie West Blvd
Ste 101
Port St Lucie, FL 34986
Phone (772) 877-3591

1700 SE Hillmoor Dr
Ste 500
Port St Lucie, FL 34952
Phone (772) 335-3200

900 SW Saint Lucie West Blvd
Port St Lucie, FL 34986
Phone (772) 877-3591

Interoperability endpoints

  • Direct secure messaging: cantave.charlot@conviva.eclinicaldirectplus.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1470182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705449600000",
    "number": "1679026983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 E ELM ST APT 3G",
            "city": "LINDEN",
            "state": "NJ",
            "postal_code": "070362976",
            "telephone_number": "732-481-9442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 NE 125TH ST",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331615936",
            "telephone_number": "305-685-5688",
            "fax_number": "305-688-7995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARLOT",
        "first_name": "CANTAVE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-03",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cantave.charlot@conviva.eclinicaldirectplus.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1430 SW Saint Lucie West Blvd Ste 101",
            "city": "Port St Lucie",
            "state": "FL",
            "country_code": "US",
            "postal_code": "349862134",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in North Miami, FL

Sources for this page

Verify at the official NPI Registry.