Individual provider Active NPI

Razvan Florian Gheorghe, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Miami, FL
National Provider Identifier
1821886631
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11039161 Issued in FL
Practice address
20850 San Simeon Way Apt 506
Miami, FL 33179-1812
Phone
(305) 987-1442
NPI assigned
Apr 30, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11039161 FL Primary

Addresses

Primary practice location

20850 San Simeon Way Apt 506
Miami, FL 33179-1812

Mailing address

20850 San Simeon Way Apt 506
Miami, FL 33179-1812
Phone (305) 987-1442

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250722003888 FL Practitioner - Nurse Practitioner 8325554702 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mobile Medical Operating Company LLCGroup PAC ID 1456747625, 11 clinicians

Practice addresses (Care Compare)

1840 SE Port St Lucie Blvd
Suite 1840
Port St Lucie, FL 34952-5545
Phone (772) 221-7620

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11039161FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Clarity & Care LLC Psychiatric/Mental Health Current Accepting new patients
My Choice Operating Company LLC Psychiatric/Mental Health CurrentSince Jul 14, 2025 Accepting new patients
Mobile Medical Operating Company LLC Psychiatric/Mental Health CurrentSince Jul 14, 2025 Accepting new patients

Locations

4655 Salisbury Rd
Ste 220
Jacksonville, FL 32256
Phone (904) 570-9404

4655 Salisbury Rd
Ste 110
Jacksonville, FL 32256
Phone (904) 570-9404

1840 SE Port St Lucie Blvd
Ste 1840
Port St Lucie, FL 34952
Phone (772) 221-7620

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1745971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745971200000",
    "number": "1821886631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20850 SAN SIMEON WAY APT 506",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331791812",
            "telephone_number": "305-987-1442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20850 SAN SIMEON WAY APT 506",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331791812",
            "telephone_number": "305-987-1442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHEORGHE",
        "first_name": "RAZVAN",
        "middle_name": "FLORIAN",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-04-30",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11039161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.