CCRM FLORIDA LLC – NPI #1306589809
Clinic/Center

CCRM FLORIDA LLC is an AHC clinic located in MIAMI, FL. NPPES has assigned the NPI number 1306589809 to CCRM FLORIDA LLC on April 14, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was last updated on Apr 24, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CCRM FLORIDA LLC below.

NPI Profile for
CCRM FLORIDA LLC

NPI Number
1306589809
Enumeration Date

(more than 4 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CCRM FLORIDA LLC
Primary location
19505 BISCAYNE BLVD
MIAMI, FL 33180-2314
Phone: (303) 885-5762 Fax:
Mailing address
9380 STATION ST
LONE TREE, CO 80124-6831
Phone: (303) 885-5762 Fax:
Organization Subpart
No
Authorized Official
DIANE RAVECH
CHIEF MANAGED CARE OFFICER
Phone: (860) 305-6640
Updated
Certification Date
Apr 24, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)
261QA0006X
- Clinic/Center / Ambulatory Fertility Facility

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.