INNOVACARE FLORIDA URGENT CARE
NPI 1598537359
Clinic/Center - Urgent Care in Loxahatchee, FL

Active since October 25, 2023CLIA 10D2289591 · Waiver
15689 SOUTHERN BLVD UNIT 102, LOXAHATCHEE, FL 33470(561) 798-3030 Get Directions Write a Review

NPPES record last updated: October 25, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Innovacare Florida Urgent Care NPPES

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

INNOVACARE FLORIDA URGENT CARE (NPI 1598537359) is a healthcare organization registered as an urgent care in Loxahatchee, Florida and active in the NPI registry since October 2023. The organization holds a CLIA Waiver certificate valid through September 12, 2027 and lists Penelope Kokkinides, Chief Administrative Officer, as its authorized official.

NPPES Registry Identity

NPI1598537359
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NameINNOVACARE FLORIDA URGENT CARE
Location Address15689 SOUTHERN BLVD UNIT 102Loxahatchee, FL 33470-9229
Mailing Address6900 Tavistock Lakes Blvd Ste 300Orlando, FL 32827-7592
Organization SubpartYes
Authorized OfficialPenelope KokkinidesChief Administrative Officer · (201) 270-7825
Enumeration DateOctober 25, 2023
NPPES CertifiedOctober 25, 2023
NPI 1598537359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
15689 SOUTHERN BLVD UNIT 102, Loxahatchee, FL 33470

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 10D2289591

Innovacare Florida Urgent Care, LLC Dba Premier Urgent Care · Loxahatchee, FL
Active · expires Sep 12, 2027
CLIA Number10D2289591
Laboratory TypePhysician Office
Certificate Effective DateSeptember 13, 2025
Certificate Expiration DateSeptember 12, 2027
Laboratory DirectorTara Lynn Stock
Laboratory Phone(407) 819-7163
Laboratory LocationInnovacare Florida Urgent Care, LLC Dba Premier Urgent Care15689 Southern Blvd, Ste 102, Loxahatchee, FL 33470
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1598537359, enumerated as an "organization" on October 25, 2023.

The provider is located at 15689 SOUTHERN BLVD UNIT 102 LOXAHATCHEE, FL 33470 and the phone number is (561) 798-3030.

Clinic/Center with taxonomy code 261QU0200X and a focus in Urgent Care.