AWAKEN HEALTH DIRECT PRIMARY CARE, PLLC
NPI 1801676267
Clinic/Center - Primary Care in Davie, FL
About Awaken Health Direct Primary Care, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AWAKEN HEALTH DIRECT PRIMARY CARE, PLLC (NPI 1801676267) is a healthcare organization registered as a primary care in Davie, Florida and active in the NPI registry since October 2023. The organization holds a CLIA Waiver certificate valid through November 6, 2027 and lists Florencia Goluboff, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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 10D2293352
Awaken Health Direct Primary Care · Cooper City, FLOther Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Awaken Health Direct Primary Care, PLLC's NPI number?
The NPI number for Awaken Health Direct Primary Care, PLLC is 1801676267. It was assigned to this organization in the NPPES registry on October 3, 2023.
Where is Awaken Health Direct Primary Care, PLLC located?
Awaken Health Direct Primary Care, PLLC is located at 12525 Orange Dr Ste 710, Davie, FL 33330. The listed phone number is (954) 646-6911.
What is Awaken Health Direct Primary Care, PLLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Does Awaken Health Direct Primary Care, PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D2293352) is associated with this NPI, valid through November 6, 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 Awaken Health Direct Primary Care, PLLC was last updated on October 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Awaken Health Direct Primary Care, Pllc · NPI 1801676267
Primary Care organization in Davie, Florida. Organization record, active in the CMS NPPES registry since October 3, 2023.
## Identity
- **NPI:** 1801676267 (Entity type: Organization)
- **Enumerated:** October 3, 2023
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Florencia Goluboff, OWNER
## Practice location
- **Address:** 12525 ORANGE DR STE 710, Davie, FL 33330-4308
- **Phone:** (954) 646-6911
## Record status
- **NPPES last updated:** October 3, 2023
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1801676267) · Data from the CMS NPPES public registry.