SPECTRUM PRIMARY CARE, LLC
NPI 1407633209
Nurse Practitioner - Primary Care in Miami, FL

Active since September 13, 2023CLIA 10D2335367 · Waiver
4300 BISCAYNE BLVD STE 203, MIAMI, FL 33137(786) 854-9735 Get Directions Write a Review

NPPES record last updated: September 13, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Spectrum Primary Care, Llc NPPES

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

SPECTRUM PRIMARY CARE, LLC (NPI 1407633209) is a healthcare organization registered as a primary care in Miami, Florida and active in the NPI registry since September 2023. The organization holds a CLIA Waiver certificate valid through December 9, 2027 and lists Kensy Chavez, Ceo, as its authorized official.

NPPES Registry Identity

NPI1407633209
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NameSPECTRUM PRIMARY CARE, LLC
Location Address4300 BISCAYNE BLVD STE 203Miami, FL 33137-3255
Mailing Address4300 Biscayne Blvd Ste 203Miami, FL 33137-3255 · (786) 854-9735
Organization SubpartNo
Authorized OfficialKensy ChavezCeo · (305) 733-3732
Enumeration DateSeptember 13, 2023
NPPES CertifiedSeptember 13, 2023
NPI 1407633209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
4300 BISCAYNE BLVD STE 203, Miami, FL 33137

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 10D2335367

Spectrum Primary Care, LLC · Miami, FL
Active · expires Dec 9, 2027
CLIA Number10D2335367
Laboratory TypePhysician Office
Certificate Effective DateDecember 10, 2025
Certificate Expiration DateDecember 9, 2027
Laboratory DirectorKensy Chavez
Laboratory Phone(786) 854-9735
Laboratory LocationSpectrum Primary Care, LLC4300 Biscayne Blvd Ste 203, Miami, FL 33137
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 12

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

Counselor (Mental Health)
4300 BISCAYNE BLVD STE 203
MIAMI, FL 33137
Clinical Medical Laboratory
4300 BISCAYNE BLVD STE 203
MIAMI, FL 33137
Behavior Analyst
4300 BISCAYNE BLVD STE 203
MIAMI, FL 33137
General Practice
4300 BISCAYNE BLVD STE 203
MIAMI, FL 33137
Clinic/Center
4300 BISCAYNE BLVD STE 203
MIAMI, FL 33137
In Home Supportive Care
4300 BISCAYNE BLVD STE 203
MIAMI, FL 33137
Speech-Language Pathologist
4300 BISCAYNE BLVD STE 203
MIAMI, FL 33137
Counselor (Mental Health)
4300 BISCAYNE BLVD STE 203
MIAMI, FL 33137

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 Spectrum Primary Care, LLC's NPI number?

The NPI number for Spectrum Primary Care, LLC is 1407633209. It was assigned to this organization in the NPPES registry on September 13, 2023.

Where is Spectrum Primary Care, LLC located?

Spectrum Primary Care, LLC is located at 4300 Biscayne Blvd Ste 203, Miami, FL 33137. The listed phone number is (786) 854-9735.

What is Spectrum Primary Care, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Does Spectrum Primary Care, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2335367) is associated with this NPI, valid through December 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Spectrum Primary Care, LLC was last updated on September 13, 2023. 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.