NPIMap

Organization Active NPI

Metcare of Florida, Inc.

  • Internal Medicine Physician
  • Stuart, FL
National Provider Identifier
1679964555
Registry record updated Aug 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
METCARE OF FLORIDA, INC.
Practice address
1233 SE Indian St
Suite 103
Stuart, FL 34997-5689
Phone
(772) 286-0552
Fax
(772) 286-7574
NPI assigned
Feb 12, 2015
Organization subpart
Yes
Parent organization
METROPOLITAN HEALTH NETWORKS, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 20, 2020

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

Authorized official

Name
Gemma Rosello
Title
V.P. Opearations
Phone
(305) 500-2000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

1233 SE Indian St
Suite 103
Stuart, FL 34997-5689

Mailing address

6101 Blue Lagoon Dr
Suite 400
Miami, FL 33126-2055
Phone (305) 500-2114

Other identifiers 1

IdentifierTypeStateIssuer
CX415AOtherFLMEDICARE PTAN

Other names 1

  • Conviva Care Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Metcare of New Smyrna Beach29 organizations share this tax ID, including this one
Part of
Albert Zamek

Other organizations with this tax ID 28

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

View all 28

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.

NPI Registry JSON

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

{
    "created_epoch": "1423699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597881600000",
    "number": "1679964555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 BLUE LAGOON DR",
            "address_2": "SUITE 400",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331262055",
            "telephone_number": "305-500-2114",
            "fax_number": "305-370-6024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1233 SE INDIAN ST",
            "address_2": "SUITE 103",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349975689",
            "telephone_number": "772-286-0552",
            "fax_number": "772-286-7574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METCARE OF FLORIDA, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "METROPOLITAN HEALTH NETWORKS, INC",
        "enumeration_date": "2015-02-12",
        "last_updated": "2020-08-20",
        "certification_date": "2020-08-20",
        "status": "A",
        "authorized_official_last_name": "ROSELLO",
        "authorized_official_first_name": "GEMMA",
        "authorized_official_title_or_position": "V.P. OPEARATIONS",
        "authorized_official_telephone_number": "305-500-2000"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "CX415A",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Conviva Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stuart, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2020; 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.