Organization Active NPI

Orange Care Management Services Organization LLC

  • Internal Medicine Physician
  • Hollywood, FL
National Provider Identifier
1902414675
Registry record updated Jul 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ORANGE CARE MANAGEMENT SERVICES ORGANIZATION LLC
Practice address
11011 Sheridan St Ste 302
Hollywood, FL 33026-1532
Phone
(954) 437-1500
Fax
(954) 437-0136
NPI assigned
Jul 20, 2020
Last updated
Jul 20, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2020

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

Authorized official

Name
Lissette Exposito
Title
Chief Executive Officer
Phone
(786) 363-8500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

11011 Sheridan St Ste 302
Hollywood, FL 33026-1532

Mailing address

14750 NW 77TH CT Ste 308
Miami Lakes, FL 33016-1537
Phone (786) 363-8500

National Provider Directory

National Provider Directory

Locations

11011 Sheridan St
Ste 302
Hollywood, FL 33026
Phone (954) 437-1500

NPI Registry JSON

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

{
    "created_epoch": "1595203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595203200000",
    "number": "1902414675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14750 NW 77TH CT STE 308",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330161537",
            "telephone_number": "786-363-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11011 SHERIDAN ST STE 302",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330261532",
            "telephone_number": "954-437-1500",
            "fax_number": "954-437-0136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORANGE CARE MANAGEMENT SERVICES ORGANIZATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-20",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A",
        "authorized_official_last_name": "EXPOSITO",
        "authorized_official_first_name": "LISSETTE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "786-363-8500"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2020; 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.