Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CCRM FLORIDA LLC
NPI 1487396107
Obstetrics & Gynecology - Reproductive Endocrinology in Miami, FL

Active since April 12, 2022
19505 BISCAYNE BLVD, MIAMI, FL 33180(303) 885-5762 Get Directions Write a Review

NPPES record last updated: July 15, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 15, 2026, Apr 12, 2022 (2 updates tracked since 2022).

About Ccrm Florida Llc NPPES

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

CCRM FLORIDA LLC (NPI 1487396107) is a healthcare organization registered as a reproductive endocrinology in Miami, Florida and active in the NPI registry since April 2022. The organization lists Matt Tyson, Director, Managed Care Contracting, as its authorized official.

NPPES Registry Identity

NPI1487396107
Entity TypeOrganization
Primary Taxonomy207VE0102X
Legal Business NameCCRM FLORIDA LLC
Location Address19505 BISCAYNE BLVDMiami, FL 33180-2314
Mailing Address19505 Biscayne Blvd Ste 2230Miami, FL 33180-3644 · (305) 526-4530
Organization SubpartNo
Authorized OfficialMatt TysonDirector, Managed Care Contracting · (615) 477-6677
Enumeration DateApril 12, 2022
Last NPPES UpdateJuly 15, 20262 updates tracked since enumeration
NPPES CertifiedJuly 15, 2026
NPI 1487396107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & Gynecology · Reproductive EndocrinologyAllopathic & Osteopathic Physicians
Taxonomy Code207VE0102X
Definition
An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility.
19505 BISCAYNE BLVD, Miami, FL 33180

Other Names 1

Other NameCcrm Florida

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

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.

Hearing Instrument Specialist
19505 BISCAYNE BLVD
AVENTURA, FL 33180
Clinic/Center (Ambulatory Surgical)
19505 BISCAYNE BLVD
MIAMI, FL 33180
Registered Nurse
19505 BISCAYNE BLVD
AVENTURA, FL 33180
Clinical Medical Laboratory
19505 BISCAYNE BLVD
MIAMI, FL 33180
Optometrist
19505 BISCAYNE BLVD, INSIDE SEARS OPTICAL
AVENTURA, FL 33180
Audiologist-Hearing Aid Fitter
19505 BISCAYNE BLVD
MIAMI, FL 33180
Optometrist (Corneal and Contact Management)
19505 BISCAYNE BLVD, SEARS OPTICAL
AVENTURA, FL 33180

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 1487396107. It was assigned to this organization in the NPPES registry on April 12, 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 Obstetrics & Gynecology, specializing in Reproductive Endocrinology, with taxonomy code 207VE0102X.

When was this NPI record last updated?

The NPPES record for Ccrm Florida LLC was last updated on July 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 32 days 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.