Active NPI
Full Circle Health Care Inc
- Obstetrics & Gynecology Physician
- Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- FULL CIRCLE HEALTH CARE INC
- Practice address
- 1190 NW 95TH St Ste 203
Miami, FL 33150-2064 - Phone
- (305) 693-0000
- Fax
- (888) 717-7671
- NPI assigned
- Aug 31, 2011
- Last updated
- Nov 6, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Mark Spence, MD
- Title
- Medical Director
- Phone
- (305) 693-0000
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | NU | Primary |
Addresses
Primary practice location
1190 NW 95TH St Ste 203
Miami, FL 33150-2064
Mailing address
1190 NW 95TH St Ste 203
Miami, FL 33150-2064
Phone (305) 693-0000
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003574500 | Medicaid | FL | |
| 1952313173 | Other | FL | NPI |
| 174807 | Other | FL | STAYWELL/WELLCARE |
| 255064400 | Medicaid | FL | |
| 14C1Y | Other | FL | BLUECROSS & BLUESHIELD |
| 43740 | Other | FL | BLUECROSS & BLUESHIELD |
National Provider Directory
National Provider DirectoryLocations
1190 NW 95th St
Ste 306
Miami, FL 33150
Phone (305) 693-0000
Practitioners & affiliated clinicians
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.
-
- Obstetrics & Gynecology Physician
- Miami, FL
- NPI 1952313173
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314748800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1636156800000",
"number": "1760763056",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1190 NW 95TH ST STE 203",
"city": "MIAMI",
"state": "FL",
"postal_code": "331502064",
"telephone_number": "305-693-0000",
"fax_number": "888-717-7671"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1190 NW 95TH ST STE 203",
"city": "MIAMI",
"state": "FL",
"postal_code": "331502064",
"telephone_number": "305-693-0000",
"fax_number": "888-717-7671"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FULL CIRCLE HEALTH CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2011-08-31",
"last_updated": "2021-11-06",
"certification_date": "2021-11-06",
"status": "A",
"authorized_official_last_name": "SPENCE",
"authorized_official_first_name": "MARK",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "305-693-0000",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003574500",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1952313173",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STAYWELL/WELLCARE",
"identifier": "174807",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "255064400",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS & BLUESHIELD",
"identifier": "14C1Y",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS & BLUESHIELD",
"identifier": "43740",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
- Fuerza Vital Medical Institute, Corp
- Thomas M Fuhrman, MD
- Brett Craig Fukuma, M.D.
- Thaisa Yumi Fukuoka Hakozaki
- Sarah L Fulaytar, APRN
- Full Life Patient Care LLC
- Full Medical Services Corp. (Full Medical Services)
- Full Precision Health PLLC
- Full Spectrum Integrated Educational Support Services, LLC (Full Spectrum)
- Karla Caridad Fuller, COTA/L
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.