Provider Demographics
NPI:1467147231
Name:CAREMAX MEDICAL CENTERS OF CENTRAL FLORIDA LLC
Entity Type:Organization
Organization Name:CAREMAX MEDICAL CENTERS OF CENTRAL FLORIDA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RA
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:N
Authorized Official - Last Name:DE VERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-649-8100
Mailing Address - Street 1:548 BARTON BLVD
Mailing Address - Street 2:
Mailing Address - City:ROCKLEDGE
Mailing Address - State:FL
Mailing Address - Zip Code:32955-3144
Mailing Address - Country:US
Mailing Address - Phone:321-414-0125
Mailing Address - Fax:321-414-0126
Practice Address - Street 1:548 BARTON BLVD
Practice Address - Street 2:
Practice Address - City:ROCKLEDGE
Practice Address - State:FL
Practice Address - Zip Code:32955-3144
Practice Address - Country:US
Practice Address - Phone:321-414-0125
Practice Address - Fax:321-414-0126
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CAREMAX MEDICAL CENTERS OF CENTRAL FLORIDA, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-04-07
Last Update Date:2023-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center