NPIMap

Organization Active NPI

Complete Local Specialty Care, Inc

Doing business as CLSC

  • Family Medicine Physician
  • Hallandale Beach, FL
National Provider Identifier
1750377453
Registry record updated May 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
COMPLETE LOCAL SPECIALTY CARE, INC
Doing business as
CLSC
Practice address
2500 E Hallandale Beach Blvd
Ste 301
Hallandale Beach, FL 33009
Phone
(954) 458-2572
Fax
(954) 354-8151
NPI assigned
Sep 27, 2005
Last updated
May 31, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2026

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

Authorized official

Name
Chantal Bray
Title
President
Phone
(954) 418-1683

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X
Family Medicine Physician 207Q00000X Primary
Internal Medicine Physician 207R00000X

Addresses

Primary practice location

2500 E Hallandale Beach Blvd
Ste 301
Hallandale Beach, FL 33009

Mailing address

950 Glades Rd Ste 4a
Boca Raton, FL 33431-6401
Phone (954) 418-1683

Other practice location 1

5355 Lyons Rd
Coconut Creek, FL 33073-2825
Phone (954) 570-9595

Other practice location 2

2879 N Narcoossee Rd
Saint Cloud, FL 34771-8781
Phone (689) 588-5588

Other practice location 3

3850 Hollywood Blvd Ste 203
Hollywood, FL 33021-6700
Phone (954) 932-3222

Other practice location 4

950 Glades Rd Ste 4A
Boca Raton, FL 33431-6401
Phone (561) 391-8086

Other practice location 5

2050 Old Hickory Tree Rd Unit E
Saint Cloud, FL 34772-8926
Phone (689) 588-5588

Other names 1

  • CLSC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040628001066 FL Part B Supplier - Clinic/Group Practice 3971591231 Receives reassigned benefits from 29 practitioners
Practice locations: Boca Raton, FL; Coconut Creek, FL; Hallandale Beach, FL; Hollywood, FL; Oviedo, FL; Saint Cloud, FL

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0934483CLSC Inc2500 E Hallandale Beach Blvd Ste 301, Hallandale, FL 33009Certificate of waiverOct 6, 2027
10D2306993Complete Local Specialty Care Inc3850 Hollywood Blvd Ste 2C, Hollywood, FL 33021Certificate of waiverJun 27, 2028

National Provider Directory

National Provider Directory

Locations

950 Glades Rd
Fl 4A
Boca Raton, FL 33431

4588 W Hillsboro Blvd Ste B2
Coconut Creek, FL 33073

5355 Lyons Rd
Coconut Creek, FL 33073
Phone (954) 570-9595

5355 Lyons Rd
Ste 4A
Coconut Creek, FL 33073

1750 E Hallandale Beach Blvd
#A
Hallandale Beach, FL 33009
Phone (954) 458-2572

1770 E Hallandale Beach Blvd
Hallandale Beach, FL 33009
Phone (954) 458-2572

1770 E Hallandale Beach Blvd
Ste 301
Hallandale Beach, FL 33009
Phone (954) 458-2572

3850 Hollywood Blvd
Ste 203
Hollywood, FL 33021
Phone (954) 442-1133

100 Alexandria Blvd
Ste 1
Oviedo, FL 32765
Phone (407) 359-7997

2050 Old Hickory Tree Rd
Unit E
Saint Cloud, FL 34772
Phone (689) 588-5588

2090 Old Hickory Tree Rd
Ste 107
Saint Cloud, FL 34772
Phone (407) 593-1273

2879 N Narcoossee Rd
Saint Cloud, FL 34771
Phone (689) 588-5588

2879 N Narcoossee Rd
Ste 104
Saint Cloud, FL 34771

Practitioners & affiliated clinicians

Practitioners 40

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.

View all 40

NPI Registry JSON

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780185600000",
    "number": "1750377453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 GLADES RD STE 4A",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316401",
            "telephone_number": "954-418-1683",
            "fax_number": "954-418-1698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 E HALLANDALE BEACH BLVD",
            "address_2": "STE 301",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "33009",
            "telephone_number": "954-458-2572",
            "fax_number": "954-354-8151"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5355 Lyons Rd",
            "address_purpose": "LOCATION",
            "city": "Coconut Creek",
            "state": "FL",
            "postal_code": "330732825",
            "country_code": "US",
            "telephone_number": "954-570-9595",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2879 N Narcoossee Rd",
            "address_purpose": "LOCATION",
            "city": "Saint Cloud",
            "state": "FL",
            "postal_code": "347718781",
            "country_code": "US",
            "telephone_number": "689-588-5588",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3850 Hollywood Blvd Ste 203",
            "address_purpose": "LOCATION",
            "city": "Hollywood",
            "state": "FL",
            "postal_code": "330216700",
            "country_code": "US",
            "telephone_number": "954-932-3222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "950 Glades Rd Ste 4A",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "334316401",
            "country_code": "US",
            "telephone_number": "561-391-8086",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2050 Old Hickory Tree Rd Unit E",
            "address_purpose": "LOCATION",
            "city": "Saint Cloud",
            "state": "FL",
            "postal_code": "347728926",
            "country_code": "US",
            "telephone_number": "689-588-5588",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COMPLETE LOCAL SPECIALTY CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-27",
        "last_updated": "2026-05-31",
        "certification_date": "2026-05-31",
        "status": "A",
        "authorized_official_last_name": "BRAY",
        "authorized_official_first_name": "CHANTAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-418-1683"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CLSC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CLSC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hallandale Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2026; 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.