CHILDRENS MEDICAL CENTER
NPI 1710034376
Exclusive Provider Organization in Hollywood, FL

Active since January 05, 2007
4651 SHERIDAN ST, SUITE 270, HOLLYWOOD, FL 33021(954) 989-6000(954) 378-4775 Get Directions Write a Review

NPPES record last updated: October 14, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Childrens Medical Center NPPES

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

CHILDRENS MEDICAL CENTER (NPI 1710034376) is a healthcare organization registered as an exclusive provider organization in Hollywood, Florida and active in the NPI registry since January 2007. The organization lists Theodore Morrison, President, as its authorized official.

NPPES Registry Identity

NPI1710034376
Entity TypeOrganization
Primary Taxonomy302F00000X
Legal Business NameCHILDRENS MEDICAL CENTER
Location Address4651 SHERIDAN ST, SUITE 270Hollywood, FL 33021-3457
Mailing Address4651 Sheridan St, Suite 270Hollywood, FL 33021-3457 · (954) 989-6000 · Fax (954) 378-4775
Fax(954) 378-4775
Organization SubpartNo
Authorized OfficialTheodore MorrisonPresident · (954) 989-6000
Enumeration DateJanuary 5, 2007
Last NPPES UpdateOctober 14, 2008
NPI 1710034376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyExclusive Provider OrganizationManaged Care Organizations
Taxonomy Code302F00000X
License Licensed in FL · ME14634
Definition

(1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations.

4651 SHERIDAN ST, Hollywood, FL 33021

Other Identifiers 1

Medicaid060425900FL

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA 4

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 10D1105750

Childrens Medical Care Inc · Hollywood, FL
Active · expires Sep 27, 2027
CLIA Number10D1105750
Laboratory TypePhysician Office
Certificate Effective DateSeptember 28, 2025
Certificate Expiration DateSeptember 27, 2027
Laboratory DirectorZafari Quereshi MD
Laboratory Phone(954) 983-1113
Laboratory LocationChildrens Medical Care Inc3939 Hollywood Blvd Ste 2b, Hollywood, FL 33021
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Accreditation 10D0277823

Children's Medical Center Of South Florida, LLC · Hollywood, FL
Expired · Dec 22, 2025
CLIA Number10D0277823
Laboratory TypePhysician Office
Certificate Effective DateDecember 23, 2023
Certificate Expiration DateDecember 22, 2025
Laboratory DirectorMitchell J. Samuels
Laboratory Phone(954) 989-6000
Laboratory LocationChildren's Medical Center Of South Florida, LLC4651 Sheridan Street Suite 270, Hollywood, FL 33021
CLIA data matches this NPI record on: Address Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Accreditation 10D0965870

Children's Medical Center Of South Florida, LLC · Pembroke Pines, FL
Expired · Apr 13, 2026
CLIA Number10D0965870
Laboratory TypePhysician Office
Certificate Effective DateApril 14, 2024
Certificate Expiration DateApril 13, 2026
Laboratory DirectorEnrique T. Gonzalez
Laboratory Phone(954) 989-6000
Laboratory LocationChildren's Medical Center Of South Florida, LLC20170 Pines Boulevard Suite 203, Pembroke Pines, FL 33029
CLIA data matches this NPI record on: Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Accreditation 10D0278230

Children's Medical Center Of South Florida, LLC · Pembroke Pines, FL
Expired · Dec 22, 2025
CLIA Number10D0278230
Laboratory TypePhysician Office
Certificate Effective DateDecember 23, 2023
Certificate Expiration DateDecember 22, 2025
Laboratory DirectorMitchell J. Samuels
Laboratory Phone(954) 989-6000
Laboratory LocationChildren's Medical Center Of South Florida, LLC12251 Taft Street, Pembroke Pines, FL 33026
CLIA data matches this NPI record on: Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 15

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

Ophthalmology
4651 SHERIDAN ST, SUITE 100
HOLLYWOOD, FL 33021
Ophthalmology
4651 SHERIDAN ST, SUITE 100
HOLLYWOOD, FL 33021
Massage Therapist
4651 SHERIDAN ST, SUITE 320
HOLLYWOOD, FL 33021
Ophthalmology
4651 SHERIDAN ST, SUITE 100
HOLLYWOOD, FL 33021
Pediatrics
4651 SHERIDAN ST, SUITE # 270
HOLLYWOOD, FL 33021
Family Medicine
4651 SHERIDAN ST, SUITE 250
HOLLYWOOD, FL 33021
Pediatrics
4651 SHERIDAN ST, SUITE 270
HOLLYWOOD, FL 33021
Chiropractor
4651 SHERIDAN ST, SUITE 220
HOLLYWOOD, FL 33021

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710034376, enumerated as an "organization" on January 05, 2007.

The provider is located at 4651 SHERIDAN ST SUITE 270 HOLLYWOOD, FL 33021 and the phone number is (954) 989-6000.

Exclusive Provider Organization with taxonomy code 302F00000X.

The provider might be accepting Accepts: Molina Healthcare, Wellpoint, Medicare and. Please consult your insurance carrier or call the provider to verify.