PRIMARY MEDICAL CARE CENTER OF MIRAMAR INC
NPI 1831645654
Clinic/Center - Primary Care in Lauderdale Lakes, FL
About Primary Medical Care Center Of Miramar Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PRIMARY MEDICAL CARE CENTER OF MIRAMAR INC (NPI 1831645654) is a healthcare organization registered as a primary care in Lauderdale Lakes, Florida and active in the NPI registry since August 2016. The organization holds a CLIA Waiver certificate valid through January 28, 2027 and lists Prinston Jean-glaude, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Primary Medical Care Center Of Miramar Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Primary Medical Care Center Of Miramar Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
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 10D2211722
Primary Medical Care Center Of Miramar, Inc · Miramar, FLFrequently 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 Primary Medical Care Center Of Miramar Inc's NPI number?
The NPI number for Primary Medical Care Center Of Miramar Inc is 1831645654. It was assigned to this organization in the NPPES registry on August 31, 2016.
Where is Primary Medical Care Center Of Miramar Inc located?
Primary Medical Care Center Of Miramar Inc is located at 2412 N State Road 7, Lauderdale Lakes, FL 33313. The listed phone number is (954) 289-0000.
What is Primary Medical Care Center Of Miramar Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Primary Medical Care Center Of Miramar Inc enrolled in Medicare?
Yes. Primary Medical Care Center Of Miramar Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Primary Medical Care Center Of Miramar Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Primary Medical Care Center Of Miramar Inc, in Family Practice and Internal Medicine. 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Primary Medical Care Center Of Miramar Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D2211722) is associated with this NPI, valid through January 28, 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 Primary Medical Care Center Of Miramar Inc was last updated on June 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Primary Medical Care Center Of Miramar Inc · NPI 1831645654
Primary Care organization in Lauderdale Lakes, Florida. Organization record, active in the CMS NPPES registry since August 31, 2016.
## Identity
- **NPI:** 1831645654 (Entity type: Organization)
- **Enumerated:** August 31, 2016
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** Yes (part of Primary Medical Care Center And Urgent Care Clinic, Inc)
- **Authorized official:** Prinston Jean-Glaude, PRESIDENT
## Practice location
- **Address:** 2412 N STATE ROAD 7, Lauderdale Lakes, FL 33313-3724
- **Phone:** (954) 289-0000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (1), Internal Medicine (1); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 16, 2020
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1831645654) · Data from the CMS NPPES public registry.