Organization Active NPI

Cadenza Medical Clinic, LLC

  • Health Service Clinic/Center
  • Ave Maria, FL
National Provider Identifier
1952894594
Registry record updated May 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
CADENZA MEDICAL CLINIC, LLC
Practice address
5080 Annunciation Cir
Ave Maria, FL 34142-9648
Phone
(239) 322-0917
Fax
(239) 658-5143
NPI assigned
Jun 8, 2018
Last updated
May 15, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2024

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

Authorized official

Name
Dr. Raul G Enad, MDNPI 1659342079
Title
Owner
Phone
(239) 322-0917

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)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

5080 Annunciation Cir
Ave Maria, FL 34142-9648

Mailing address

5080 Annunciation Cir
Ave Maria, FL 34142-9648
Phone (239) 322-0917

National Provider Directory

National Provider Directory

Locations

332 W US Highway 30
Ste A
Valparaiso, IN 46385

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.

NPI Registry JSON

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

{
    "created_epoch": "1528416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715731200000",
    "number": "1952894594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5080 ANNUNCIATION CIR",
            "city": "AVE MARIA",
            "state": "FL",
            "postal_code": "341429648",
            "telephone_number": "239-322-0917",
            "fax_number": "239-658-5143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5080 ANNUNCIATION CIR",
            "city": "AVE MARIA",
            "state": "FL",
            "postal_code": "341429648",
            "telephone_number": "239-322-0917",
            "fax_number": "239-658-5143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CADENZA MEDICAL CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-08",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A",
        "authorized_official_last_name": "ENAD",
        "authorized_official_first_name": "RAUL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-322-0917",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ave Maria, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; 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.