Continucare Medical Management, Inc.

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

License

HCC 9947 Issued in FL

Legal business name

CONTINUCARE MEDICAL MANAGEMENT, INC.

Practice address

7101 W McNab Rd
Tamarac, FL 33321-5351

Phone

(954) 722-5600

Fax

(954) 721-7790

NPI assigned

Jul 18, 2006

Last updated

Jun 10, 2016By 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

Gemma Rosello

Title

Vice President

Phone

(305) 500-2000

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Continucare Medical Center Other name

Locations

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465516800000",
    "number": "1902824691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 BLUE LAGOON DR",
            "address_2": "SUITE 400",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331262055",
            "telephone_number": "305-500-2114",
            "fax_number": "305-370-6024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7101 W MCNAB RD",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333215351",
            "telephone_number": "954-722-5600",
            "fax_number": "954-721-7790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONTINUCARE MEDICAL MANAGEMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2016-06-10",
        "status": "A",
        "authorized_official_last_name": "ROSELLO",
        "authorized_official_first_name": "GEMMA",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "305-500-2000"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "FL",
            "license": "HCC 9947",
            "primary": true
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001887100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Continucare Medical Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Continucare Medical Management, Inc.
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• Karina Cortes, PHYSICIAN ASSISTANT
• Dimitri Cosmios, P.T.

• Multi-Specialty Clinic/Center in Tamarac, FL
• Providers in Tamarac, FL by specialty
• Multi-Specialty Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2016; 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.