1. Home
  2. Directory
  3. Florida
  4. Hollywood
  5. General Practice
  6. NPI Profile

CENTERS OF MEDICAL EXCELLENCE, LLC
NPI 1255161865
General Practice in Hollywood, FL

Active since August 07, 2024CLIA 10D2267308 · Waiver
3500 HOLLYWOOD BLVD., HOLLYWOOD, FL 33021(754) 231-0164(754) 225-1616 Get Directions Write a Review

NPPES record last updated: August 7, 2024. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Centers Of Medical Excellence, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CENTERS OF MEDICAL EXCELLENCE, LLC (NPI 1255161865) is a healthcare organization registered as a general practice in Hollywood, Florida and active in the NPI registry since August 2024. The organization holds a CLIA Waiver certificate valid through August 22, 2028 and lists Sadita Bustamante, Coo, as its authorized official.

NPPES Registry Identity

NPI1255161865
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameCENTERS OF MEDICAL EXCELLENCE, LLC
Location Address3500 HOLLYWOOD BLVD.Hollywood, FL 33021-6809
Mailing Address7925 Nw 12 Street, Suite 201Doral, FL 33126-1821 · (305) 874-3909 · Fax (305) 874-3916
Phone(754) 231-0164
Fax(754) 225-1616
Organization SubpartNo
Authorized OfficialSadita BustamanteCoo · (305) 874-3909
Enumeration DateAugust 7, 2024
✔ NPI 1255161865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
3500 HOLLYWOOD BLVD., Hollywood, FL 33021
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2267308

Centers Of Medical Excellence, LLC · Hollywood, FL
Active · expires Aug 22, 2028
CLIA Number10D2267308
Laboratory TypePhysician Office
Certificate Effective DateAugust 23, 2026
Certificate Expiration DateAugust 22, 2028
Laboratory DirectorSadita Bustamante
Laboratory Phone(305) 974-3909
Laboratory LocationCenters Of Medical Excellence, LLC3500 Hollywood Blvd, Hollywood, FL 33021
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Centers Of Medical Excellence, LLC's NPI number?

The NPI number for Centers Of Medical Excellence, LLC is 1255161865. It was assigned to this organization in the NPPES registry on August 7, 2024.

Where is Centers Of Medical Excellence, LLC located?

Centers Of Medical Excellence, LLC is located at 3500 Hollywood Blvd., Hollywood, FL 33021. The listed phone number is (754) 231-0164.

What is Centers Of Medical Excellence, LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Does Centers Of Medical Excellence, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2267308) is associated with this NPI, valid through August 22, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Centers Of Medical Excellence, LLC was last updated on August 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.