CCRM FLORIDA LLC; NPI #1306589809

Contact Information

CCRM FLORIDA LLC

19505 BISCAYNE BLVD
MIAMI, FL 33180-2314

Phone: 303-885-5762
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Ambulatory Surgical	261QA1903X	49	Ambulatory Surgical Center
Ambulatory Fertility Facility	261QA0006X

Indicates primary specialty

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NPI Profile & details for CCRM FLORIDA LLC

NPI #	`1306589809`
LBN Legal business name	CCRM FLORIDA LLC
Authorized official	DIANE RAVECH - (CHIEF MANAGED CARE OFFICER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	04/14/2022
Last updated	04/24/2025 - More than a year ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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