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CCG OF SOUTH FLORIDA LLC
NPI 1497034086
Internal Medicine in Coral Springs, FL

Active since August 12, 2011CLIA 10D2031853 · Waiver
2901 CORAL HILLS DR, SUITE 360, CORAL SPRINGS, FL 33065(954) 255-7310(954) 255-7311 Get Directions Write a Review

NPPES record last updated: August 12, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ccg Of South Florida Llc NPPES

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

CCG OF SOUTH FLORIDA LLC (NPI 1497034086) is a healthcare organization registered as an internal medicine in Coral Springs, Florida and active in the NPI registry since August 2011. The organization holds a CLIA Waiver certificate valid through October 27, 2027 and lists Mario B Pereira, President, as its authorized official.

NPPES Registry Identity

NPI1497034086
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCCG OF SOUTH FLORIDA LLC
Location Address2901 CORAL HILLS DR, SUITE 360Coral Springs, FL 33065-4146
Mailing Address2901 Coral Hills Dr, Suite 360Coral Springs, FL 33065-4146 · (954) 255-7310 · Fax (954) 255-7311
Phone(954) 255-7310
Fax(954) 255-7311
Organization SubpartNo
Authorized OfficialMario B PereiraPresident · (954) 255-7310
Enumeration DateAugust 12, 2011
✔ NPI 1497034086 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2901 CORAL HILLS DR, Coral Springs, FL 33065
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

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 10D2031853

Ccg Of South Florida LLC · Plantation, FL
Active · expires Oct 27, 2027
CLIA Number10D2031853
Laboratory TypePhysician Office
Certificate Effective DateOctober 28, 2025
Certificate Expiration DateOctober 27, 2027
Laboratory DirectorMario B. Pereira
Laboratory Phone(954) 255-7310
Laboratory LocationCcg Of South Florida LLC8251 W Broward Blvd Ste 103, Plantation, FL 33324
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

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

MR. GREGORY LEE BURNS PA C
Physician Assistant
2901 CORAL HILLS DR, SUITE 150
CORAL SPRINGS, FL 33065
Broward County (954) 755-2121
DR ARTHUR B KORBEL INC
Podiatrist (Primary Podiatric Medicine)
2901 CORAL HILLS DR, SUITE 220
CORAL SPRINGS, FL 33065
Broward County (954) 753-3146
STEVEN GREENBERG, M.D.,PA.
Specialist
2901 CORAL HILLS DR, SUITE 300
CORAL SPRINGS, FL 33065
Broward County (954) 340-1234
CESIL KESHISHIAN
Pharmacist
2901 CORAL HILLS DR, SUITE 120
CORAL SPRINGS, FL 33065
Broward County (954) 379-4153
VIJAYA L BABU MD PA
Obstetrics & Gynecology
2901 CORAL HILLS DR, SUITE 350
CORAL SPRINGS, FL 33065
Broward County (954) 341-1886
MARIA CALZADILLA ARNP
Nurse Practitioner (Family)
2901 CORAL HILLS DR, SUITE 370
CORAL SPRINGS, FL 33065
Broward County (844) 665-4827
FAWAZ ALFARRA M D P A
Internal Medicine
2901 CORAL HILLS DR, SUITE 320
CORAL SPRINGS, FL 33065
Broward County (954) 753-3355
HEART CARE OF SOUTH FLORIDA PA
Internal Medicine (Cardiovascular Disease)
2901 CORAL HILLS DR, SUITE 240
CORAL SPRINGS, FL 33065
Broward County (954) 227-7787

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 Ccg Of South Florida LLC's NPI number?

The NPI number for Ccg Of South Florida LLC is 1497034086. It was assigned to this organization in the NPPES registry on August 12, 2011.

Where is Ccg Of South Florida LLC located?

Ccg Of South Florida LLC is located at 2901 Coral Hills Dr Suite 360, Coral Springs, FL 33065. The listed phone number is (954) 255-7310.

What is Ccg Of South Florida LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Ccg Of South Florida LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2031853) is associated with this NPI, valid through October 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Ccg Of South Florida LLC accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Ccg Of South Florida LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ccg Of South Florida LLC was last updated on August 12, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.