CCRM FLORIDA SURGERY LLC – NPI #1619792215
Clinic/Center

CCRM FLORIDA SURGERY LLC is an AHC clinic located in MIAMI, FL. NPPES has assigned the NPI number 1619792215 to CCRM FLORIDA SURGERY LLC on November 19, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. 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 May 18, 2026. 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 SURGERY LLC below.

NPI Profile for
CCRM FLORIDA SURGERY LLC

NPI Number
1619792215
Enumeration Date

(more than a year 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 SURGERY LLC
Primary location
19505 BISCAYNE BLVD STE 2230
MIAMI, FL 33180-3644
Phone: (305) 526-4530 Fax: (833) 983-0045
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MATT TYSON
DIRECTOR, MANAGED CARE CONTRACTING
Phone: (615) 477-6677
Updated
Certification Date
May 18, 2026

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)

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.