Florida Health Care Clinic, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

FLORIDA HEALTH CARE CLINIC, LLC

Practice address

17986 Franjo Rd
Palmetto Bay, FL 33157

Phone

(305) 424-8351

Fax

(305) 424-8352

NPI assigned

Mar 16, 2017

Last updated

Mar 6, 2019By 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

Mr. Jorge Gonzalez

Title

President

Phone

(305) 424-8351

Specialties & licenses 2

Addresses

Other identifiers 1

Tax ID family

Florida Health Care Clinic LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Florida Health Care Clinic, LLC

  • Mental Health Counselor
  • Miami, FL
  • NPI 1629800693
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Florida Health Care Clinic, LLC

  • Mental Health Counselor
  • Miami, FL
  • NPI 1629800693
  NPPES parent name

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.

• Dinora Shervington, MFT

  • Mental Health Counselor
  • Miami, FL
  • NPI 1093856445
  NPD

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

{
    "created_epoch": "1489622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551830400000",
    "number": "1740721281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17986 FRANJO RD",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331575641",
            "telephone_number": "305-424-8351",
            "fax_number": "305-424-8352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17986 FRANJO RD",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "33157",
            "telephone_number": "305-424-8351",
            "fax_number": "305-424-8352"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18951 SW 106th Ave Ste 211",
            "address_purpose": "LOCATION",
            "city": "Cutler Bay",
            "state": "FL",
            "postal_code": "33157",
            "country_code": "US",
            "telephone_number": "786-482-8840",
            "fax_number": "786-482-8860",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18951 SW 106th Ave Ste 211",
            "address_purpose": "LOCATION",
            "city": "Cutler Bay",
            "state": "FL",
            "postal_code": "33157",
            "country_code": "US",
            "telephone_number": "305-424-8351",
            "fax_number": "305-424-8352",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FLORIDA HEALTH CARE CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-16",
        "last_updated": "2019-03-06",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "JORGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-424-8351",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "024982600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Flanagan, D.O.
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• Jocelyn Marie Flores
• Miriam Flores
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• Florida Home Education Program
• Florida Kids Therapy Associates LLC
• Florida Woman Care,LLC
• Floridian Dental at Palmetto Bay, LLC (Floridian Dental at Palmetto Bay)
• Roberto Ramon Fonseca Perez

• Community/Behavioral Health Agency in Palmetto Bay, FL
• Providers in Palmetto Bay, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2019; 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.