INNOVATIVE CARE INC
NPI 1417169210
Internal Medicine - Geriatric Medicine in Miramar, FL

Active since May 04, 2007CLIA 10D1103555 · Waiver
12600 PEMBROKE RD, SUITE 100, MIRAMAR, FL 33027(954) 432-5400(877) 671-4101 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Jul 21, 2022, Jun 16, 2018, Aug 31, 2017 (3 updates tracked since 2017).

About Innovative Care Inc NPPES

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

INNOVATIVE CARE INC (NPI 1417169210) is a healthcare organization registered as a geriatric medicine in Miramar, Florida and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through August 11, 2027 and lists Gokhan Guvenli, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1417169210
Entity TypeOrganization
Primary Taxonomy207RG0300X
Legal Business NameINNOVATIVE CARE INC
Location Address12600 PEMBROKE RD, SUITE 100Miramar, FL 33027-2544
Mailing Address1 Sw 129th Ave, Suite 109Pembroke Pines, FL 33027-1761 · (954) 450-9595 · Fax (954) 450-9774
Fax(877) 671-4101
Organization SubpartNo
Authorized OfficialGokhan GuvenliMedical Director · (954) 450-9595
Enumeration DateMay 4, 2007
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
NPI 1417169210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
License Licensed in FL · ME53538
Definition
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
Also ListedFamily MedicineTaxonomy 207Q00000X · License OS10374 (FL)
12600 PEMBROKE RD, Miramar, FL 33027

Other Identifiers 3

OtherBF602FL · Group Medicare #
OtherBW654ZFL · Dr. Martinez Medicare
OtherCA283WFL · Dr. Guvenli Medicare

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 MULTIPLE 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 10D1103555

Innovative Care II LLC · Miramar, FL
Active · expires Aug 11, 2027
CLIA Number10D1103555
Laboratory TypePhysician Office
Certificate Effective DateAugust 12, 2025
Certificate Expiration DateAugust 11, 2027
Laboratory DirectorGokahan Guvenli MD
Laboratory Phone(945) 432-5400
Laboratory LocationInnovative Care II LLC12600 Pembroke Rd Ste 100, Miramar, FL 33027
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 18

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

Internal Medicine
12600 PEMBROKE RD, SUITE 206
MIRAMAR, FL 33027
Physical Medicine & Rehabilitation (Pain Medicine)
12600 PEMBROKE RD, SUITE 302
MIRAMAR, FL 33027
Dentist (Prosthodontics)
12600 PEMBROKE RD, SUITE 314
MIRAMAR, FL 33027
Dentist (General Practice)
12600 PEMBROKE RD, SUITE 314
MIRAMAR, FL 33027
Surgery (Plastic and Reconstructive Surgery)
12600 PEMBROKE RD, SUITE 306
MIRAMAR, FL 33027
Internal Medicine
12600 PEMBROKE RD, SUITE 208
MIRAMAR, FL 33027
Internal Medicine
12600 PEMBROKE RD, STE 204
MIRAMAR, FL 33027
Surgery (Plastic and Reconstructive Surgery)
12600 PEMBROKE RD, SUITE 306
MIRAMAR, FL 33027

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 Innovative Care Inc's NPI number?

The NPI number for Innovative Care Inc is 1417169210. It was assigned to this organization in the NPPES registry on May 4, 2007.

Where is Innovative Care Inc located?

Innovative Care Inc is located at 12600 Pembroke Rd Suite 100, Miramar, FL 33027. The listed phone number is (954) 432-5400.

What is Innovative Care Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Does Innovative Care Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D1103555) is associated with this NPI, valid through August 11, 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 Innovative Care Inc was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.