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FLORIDA MEDICAL CARE GROUP CORP
NPI 1962152181
Nurse Practitioner - Family in Miami, FL

Active since March 29, 2022CLIA 10D2261440 · Waiver
13190 SW 134TH ST STE 108, MIAMI, FL 33186(786) 768-1283(786) 364-7154 Get Directions Write a Review

NPPES record last updated: March 29, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Florida Medical Care Group Corp NPPES

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

FLORIDA MEDICAL CARE GROUP CORP (NPI 1962152181) is a healthcare organization registered as a family in Miami, Florida and active in the NPI registry since March 2022. The organization holds a CLIA Waiver certificate valid through May 31, 2028 and lists Marilyn Betancourt, President, as its authorized official.

NPPES Registry Identity

NPI1962152181
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameFLORIDA MEDICAL CARE GROUP CORP
Location Address13190 SW 134TH ST STE 108Miami, FL 33186-4460
Mailing Address13190 Sw 134th St Ste 108Miami, FL 33186-4460 · (786) 768-1283 · Fax (786) 364-7154
Phone(786) 768-1283
Fax(786) 364-7154
Organization SubpartNo
Authorized OfficialMarilyn BetancourtPresident · (786) 768-1283
Enumeration DateMarch 29, 2022
NPPES CertifiedMarch 29, 2022
✔ NPI 1962152181 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
13190 SW 134TH ST STE 108, Miami, FL 33186
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Florida Medical Care Group Corp 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 Florida Medical Care Group Corp, which bills Medicare for the services this clinician delivers.

Clinician (1)

Marilyn Betancourt, NP
Nurse Practitioner
NPI 1588127856
13190 SW 134TH ST STE 108
Miami, FL 33186
(786) 768-1283
✔ PECOS✔ Accepts MedicareSame address

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 10D2261440

Florida Medical Care Group, Corp · Miami, FL
Active · expires May 31, 2028
CLIA Number10D2261440
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateJune 1, 2026
Certificate Expiration DateMay 31, 2028
Laboratory DirectorMarilyn Betancourt
Laboratory Phone(305) 964-7075
Laboratory LocationFlorida Medical Care Group, Corp13190 SW 134 Street, Ste 108, Miami, FL 33186
CLIA data matches this NPI record on: Name
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 Florida Medical Care Group Corp's NPI number?

The NPI number for Florida Medical Care Group Corp is 1962152181. It was assigned to this organization in the NPPES registry on March 29, 2022.

Where is Florida Medical Care Group Corp located?

Florida Medical Care Group Corp is located at 13190 SW 134th St Ste 108, Miami, FL 33186. The listed phone number is (786) 768-1283.

What is Florida Medical Care Group Corp's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Florida Medical Care Group Corp enrolled in Medicare?

Yes. Florida Medical Care Group Corp is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Florida Medical Care Group Corp?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Florida Medical Care Group Corp. 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 Florida Medical Care Group Corp hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2261440) is associated with this NPI, valid through May 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Florida Medical Care Group Corp was last updated on March 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.