Organization Active NPI

CKK Medical LLC

  • Cardiovascular Disease Physician
  • Ocala, FL
National Provider Identifier
1962064493
Registry record updated Jul 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
CKK MEDICAL LLC
Practice address
6600 SW State Road 200 # 200
Ocala, FL 34476-5554
Phone
(352) 658-5556
Fax
(352) 600-6960
NPI assigned
Jul 4, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 4, 2019

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

Authorized official

Name
Saiyed Mohib, MD
Title
Medical Director
Phone
(352) 658-5556

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

6600 SW State Road 200 # 200
Ocala, FL 34476-5554

Mailing address

6600 SW State Road 200 # 200
Ocala, FL 34476-5554
Phone (352) 658-5556

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1562198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562198400000",
    "number": "1962064493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 SW STATE ROAD 200 # 200",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344765554",
            "telephone_number": "352-658-5556",
            "fax_number": "352-600-6960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 SW STATE ROAD 200 # 200",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344765554",
            "telephone_number": "352-658-5556",
            "fax_number": "352-600-6960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CKK MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-04",
        "last_updated": "2019-07-04",
        "status": "A",
        "authorized_official_last_name": "MOHIB",
        "authorized_official_first_name": "SAIYED",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "352-658-5556",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2019; 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.