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CAREATC - CITY OF COCOA
NPI 1790239119
Clinic/Center - Primary Care in Cocoa, FL

Active since August 15, 2016CLIA 10D2085262 · Waiver
128 LEMON ST, COCOA, FL 32922(918) 779-7416(855) 383-3237 Get Directions Write a Review

NPPES record last updated: August 15, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Careatc - City Of Cocoa NPPES

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

CAREATC - CITY OF COCOA (NPI 1790239119) is a healthcare organization registered as a primary care in Cocoa, Florida and active in the NPI registry since August 2016. The organization holds a CLIA Waiver certificate valid through October 8, 2026 and lists Keith Gucwa, Director Of Purchasing And Faciliti, as its authorized official.

NPPES Registry Identity

NPI1790239119
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameCAREATC - CITY OF COCOA
Location Address128 LEMON STCocoa, FL 32922-7624
Mailing Address128 Lemon StCocoa, FL 32922-7624 · (918) 779-7416 · Fax (855) 383-3237
Phone(918) 779-7416
Fax(855) 383-3237
Organization SubpartNo
Authorized OfficialKeith GucwaDirector Of Purchasing And Faciliti · (918) 779-7416
Enumeration DateAugust 15, 2016
✔ NPI 1790239119 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
128 LEMON ST, Cocoa, FL 32922
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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 10D2085262

Careatc Cocoa · Cocoa, FL
Active · expires Oct 8, 2026
CLIA Number10D2085262
Laboratory TypePhysician Office
Certificate Effective DateOctober 9, 2024
Certificate Expiration DateOctober 8, 2026
Laboratory DirectorAuthrine C. Whyte
Laboratory Phone(918) 779-7471
Laboratory LocationCareatc Cocoa128 Lemon St, Cocoa, FL 32922
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

MEDSTAFF
Family Medicine
128 LEMON ST
COCOA, FL 32922
Brevard County (918) 779-7400

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 Careatc - City Of Cocoa's NPI number?

The NPI number for Careatc - City Of Cocoa is 1790239119. It was assigned to this organization in the NPPES registry on August 15, 2016.

Where is Careatc - City Of Cocoa located?

Careatc - City Of Cocoa is located at 128 Lemon St, Cocoa, FL 32922. The listed phone number is (918) 779-7416.

What is Careatc - City Of Cocoa's specialty?

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

Does Careatc - City Of Cocoa hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2085262) is associated with this NPI, valid through October 8, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Careatc - City Of Cocoa was last updated on August 15, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.