Florida Family Clinic LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

9636 Issued in FL

Legal business name

FLORIDA FAMILY CLINIC LLC

Practice address

1800 SW 27TH Ave Ste 214
Miami, FL 33145-2455

Phone

(305) 444-0515

NPI assigned

Dec 8, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Ricardo Francisco Gutierrez, MT, RN.NPI 1366673741

Title

Owner

Phone

(305) 444-3580

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

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

• Ricardo Francisco Gutierrez, DNP, FNP-BC

  • Adult Medicine Physician
  • Miami, FL
  • NPI 1366673741

  Single Specialty

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1323302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349395200000",
    "number": "1699043448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 SW 27TH AVE STE 214",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331452455",
            "telephone_number": "305-444-0515",
            "fax_number": "305-444-1736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 SW 27TH AVE STE 214",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331452455",
            "telephone_number": "305-444-0515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA FAMILY CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-08",
        "last_updated": "2012-10-05",
        "status": "A",
        "authorized_official_last_name": "GUTIERREZ",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_middle_name": "FRANCISCO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-444-3580",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MT, RN."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "FL",
            "license": "9636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Florida Family Home Health Care, Inc.
• Florida Family Laboratory, Inc.
• Florida First Health Services Corp
• Florida Foot & Ankle Associates LLC

• Health Service Clinic/Center in Miami, FL
• Providers in Miami, FL by specialty
• Health Service Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.