Complete Care Medical Group, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

COMPLETE CARE MEDICAL GROUP, LLC

Practice address

2105 S Park Ave
Sanford, FL 32771-4349

Phone

(407) 402-2210

NPI assigned

Feb 2, 2021

Last updated

Aug 17, 2021By 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

Miss Juliet Woolcock

Title

Administrator

Phone

(407) 595-7668

Specialties & licenses 1

Addresses

Locations

Practitioners 4

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.

• Meureen O Daniel, MD

  • Internal Medicine Physician
  • Sanford, FL
  • NPI 1891730594
  NPD
• Ashley Fender, APRN

  • Nurse Practitioner
  • Orange City, FL
  • NPI 1437874120
  NPD
• Emily Acosta, APRN

  • Family Nurse Practitioner
  • Orlando, FL
  • NPI 1235700345
  NPD (past)
• Shaquille C Littles, APRN

  • Nurse Practitioner
  • Jacksonville, FL
  • NPI 1033811765
  NPD (past)

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

{
    "created_epoch": "1612224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629158400000",
    "number": "1881285799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 S PARK AVE",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327714349",
            "telephone_number": "407-878-0181",
            "fax_number": "407-878-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 S PARK AVE",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327714349",
            "telephone_number": "407-402-2210"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "160 International Pkwy",
            "address_purpose": "LOCATION",
            "city": "Heathrow",
            "state": "FL",
            "postal_code": "327465056",
            "country_code": "US",
            "telephone_number": "407-402-2210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COMPLETE CARE MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-02",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A",
        "authorized_official_last_name": "WOOLCOCK",
        "authorized_official_first_name": "JULIET",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "407-595-7668",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Frank T Comparetti, D.C.
• Allison Conley, FNP
• Connective Physical Therapy, LLC
• Debra Joy Nogueras Conner, ARNP
• Tara Lin Conway, MS, ATC, LAT
• Cook N Care Home Care LLC

• Internal Medicine Physician in Sanford, FL
• Providers in Sanford, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.

Verify at the official NPI Registry.