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Contact Information

CCM SPECIALISTS LLC
1108 AMBER LAKE CT
CAPE CORAL, FL33909
 Phone: 425-270-5432
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Case Manager/Care Coordinator

171M00000X
Indicates primary specialty

NPI Profile & details for CCM SPECIALISTS LLC

NPI # 1891183984
LBN Legal business name CCM SPECIALISTS LLC
Authorized official AJAY DHAWAN - (MEDICAL DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 12/26/2014
Last updated 12/26/2014 - About 11 years ago
Identifiers
FL License # ME105093
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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