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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 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: July 19, 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
Phone(303) 885-5762
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
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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 6

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

MIRACLE EAR
Audiologist-Hearing Aid Fitter
19505 BISCAYNE BLVD
MIAMI, FL 33180
Miami-Dade County (305) 466-2068
VIVIANA DUARTE
Hearing Instrument Specialist
19505 BISCAYNE BLVD
AVENTURA, FL 33180
Miami-Dade County (305) 466-2068
LTA VISION CORPORATION
Optometrist
19505 BISCAYNE BLVD, INSIDE SEARS OPTICAL
AVENTURA, FL 33180
Miami-Dade County (305) 935-4606
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
CCRM FLORIDA LLC
Clinic/Center (Ambulatory Surgical)
19505 BISCAYNE BLVD
MIAMI, FL 33180
Miami-Dade County (303) 885-5762
CCRM FLORIDA LLC
Clinical Medical Laboratory
19505 BISCAYNE BLVD
MIAMI, FL 33180
Miami-Dade County (303) 885-5762

Frequently Asked Questions

What is CCRM FLORIDA LLC's NPI number?

The NPI number assigned to this healthcare provider is 1487396107, enumerated as an "organization" on April 12, 2022.

Where is the provider located?

The provider is located at 19505 BISCAYNE BLVD MIAMI, FL 33180 and the phone number is (303) 885-5762.

What is the provider's specialty?

Obstetrics & Gynecology with taxonomy code 207VE0102X and a focus in Reproductive Endocrinology.