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CORCOBA FAMILY HEALTH CARE
NPI 1639046345
Clinic/Center - Primary Care in Champions Gate, FL

Active since October 20, 2025CLIA 10D2335477 · Waiver
8390 CHAMPIONS GATE BLVD STE 108, CHAMPIONS GATE, FL 33896(863) 521-4497(815) 205-4677 Get Directions Write a Review

NPPES record last updated: October 20, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Corcoba Family Health Care NPPES

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

CORCOBA FAMILY HEALTH CARE (NPI 1639046345) is a healthcare organization registered as a primary care in Champions Gate, Florida and active in the NPI registry since October 2025. The organization holds a CLIA Waiver certificate valid through December 10, 2027 and lists Elizabeth Leon Corcoba, Owner, as its authorized official.

NPPES Registry Identity

NPI1639046345
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameCORCOBA FAMILY HEALTH CARE
Location Address8390 CHAMPIONS GATE BLVD STE 108Champions Gate, FL 33896-8311
Mailing Address8390 Champions Gate Blvd Ste 108Champions Gate, FL 33896-8311 · (863) 521-4497 · Fax (815) 205-4677
Phone(863) 521-4497
Fax(815) 205-4677
Organization SubpartNo
Authorized OfficialElizabeth Leon CorcobaOwner · (816) 682-7985
Enumeration DateOctober 20, 2025
NPPES CertifiedOctober 19, 2025
✔ NPI 1639046345 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
8390 CHAMPIONS GATE BLVD STE 108, Champions Gate, FL 33896
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Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Corcoba Family Health Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Corcoba Family Health Care, which bills Medicare for the services this clinician delivers.

Clinician (1)

Elizabeth Leon Corcoba, MSN, APRN, FNP-C
Nurse Practitioner
NPI 1740948355
8390 CHAMPIONS GATE BLVD STE 108
Champions Gate, FL 33896
(863) 521-4497
✔ PECOS✔ Accepts Medicare0.8 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 10D2335477

Corcoba Family Health Care LLC · Champions Gate, FL
Active · expires Dec 10, 2027
CLIA Number10D2335477
Laboratory TypePhysician Office
Certificate Effective DateDecember 11, 2025
Certificate Expiration DateDecember 10, 2027
Laboratory DirectorElizabeth Leon Corcoba
Laboratory Phone(863) 521-4497
Laboratory LocationCorcoba Family Health Care LLC8390 Champions Gate Blvd, Unit 108, Champions Gate, FL 33896
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Corcoba Family Health Care's NPI number?

The NPI number for Corcoba Family Health Care is 1639046345. It was assigned to this organization in the NPPES registry on October 20, 2025.

Where is Corcoba Family Health Care located?

Corcoba Family Health Care is located at 8390 Champions Gate Blvd Ste 108, Champions Gate, FL 33896. The listed phone number is (863) 521-4497.

What is Corcoba Family Health Care's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Corcoba Family Health Care enrolled in Medicare?

Yes. Corcoba Family Health Care is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Corcoba Family Health Care?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Corcoba Family Health Care. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Corcoba Family Health Care hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2335477) is associated with this NPI, valid through December 10, 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 Corcoba Family Health Care was last updated on October 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.