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CCRM FLORIDA LLC
NPI 1306589809
Clinic/Center - Ambulatory Surgical in Miami, FL

Active since April 14, 2022CLIA 10D2267774 · Accreditation
19505 BISCAYNE BLVD, MIAMI, FL 33180(303) 885-5762 Get Directions Write a Review

NPPES record last updated: April 24, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ccrm Florida Llc NPPES

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

CCRM FLORIDA LLC (NPI 1306589809) is a healthcare organization registered as an ambulatory surgical in Miami, Florida and active in the NPI registry since April 2022. The organization holds an CLIA Accreditation certificate valid through September 17, 2026 and lists Diane Ravech, Chief Managed Care Officer, as its authorized official.

NPPES Registry Identity

NPI1306589809
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameCCRM FLORIDA LLC
Location Address19505 BISCAYNE BLVDMiami, FL 33180-2314
Mailing Address9380 Station StLone Tree, CO 80124-6831 · (303) 885-5762
Phone(303) 885-5762
Organization SubpartNo
Authorized OfficialDiane RavechChief Managed Care Officer · (860) 305-6640
Enumeration DateApril 14, 2022
Last NPPES UpdateApril 24, 2025
NPPES CertifiedApril 24, 2025
✔ NPI 1306589809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
Also ListedClinic/Center · Ambulatory Fertility FacilityTaxonomy 261QA0006X
19505 BISCAYNE BLVD, Miami, FL 33180
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Other Names 1

Other NameCcrm Florida

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 Accreditation 10D2267774

Ccrm Florida LLC · Miami, FL
Active · expires Sep 17, 2026
CLIA Number10D2267774
Laboratory TypePhysician Office
Certificate Effective DateSeptember 18, 2024
Certificate Expiration DateSeptember 17, 2026
Laboratory DirectorDr. Jason E. Swain
Laboratory Phone(734) 645-0119
Laboratory LocationCcrm Florida LLC19505 Biscayne Blvd Ste 2230, Miami, FL 33180
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VIVIANA DUARTE
Hearing Instrument Specialist
19505 BISCAYNE BLVD
AVENTURA, FL 33180
Miami-Dade County (305) 466-2068
MARIA BARTLETT RN
Registered Nurse
19505 BISCAYNE BLVD
AVENTURA, FL 33180
Miami-Dade County (786) 284-1358
CCRM FLORIDA LLC
Clinical Medical Laboratory
19505 BISCAYNE BLVD
MIAMI, FL 33180
Miami-Dade County (303) 885-5762
CCRM FLORIDA LLC
Obstetrics & Gynecology (Reproductive Endocrinology)
19505 BISCAYNE BLVD
MIAMI, FL 33180
Miami-Dade County (303) 885-5762
LTA VISION CORPORATION
Optometrist
19505 BISCAYNE BLVD, INSIDE SEARS OPTICAL
AVENTURA, FL 33180
Miami-Dade County (305) 935-4606
MIRACLE EAR
Audiologist-Hearing Aid Fitter
19505 BISCAYNE BLVD
MIAMI, FL 33180
Miami-Dade County (305) 466-2068
DR J BERNARD DRUCKER, P.A.
Optometrist (Corneal and Contact Management)
19505 BISCAYNE BLVD, SEARS OPTICAL
AVENTURA, FL 33180
Miami-Dade County (305) 705-9052

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 Ccrm Florida LLC's NPI number?

The NPI number for Ccrm Florida LLC is 1306589809. It was assigned to this organization in the NPPES registry on April 14, 2022. The provider is also known as CCRM Florida.

Where is Ccrm Florida LLC located?

Ccrm Florida LLC is located at 19505 Biscayne Blvd, Miami, FL 33180. The listed phone number is (303) 885-5762.

What is Ccrm Florida LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Ccrm Florida LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 10D2267774) is associated with this NPI, valid through September 17, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Ccrm Florida LLC was last updated on April 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.