CLAREMEDICA VIKING LLC
Complete NPI Record 1992520118
Family Medicine in Homestead, FL
Active since November 21, 2024CLIA 10D2067734 · Waiver
Complete NPI Dataset
This page contains the complete raw NPPES record for Claremedica Viking Llc (NPI 1992520118), a family medicine organization in Homestead, FL. All 29 fields on file are listed with their current values and official NPPES definitions, exactly as recorded in the National Plan and Provider Enumeration System. Only fields that contain data are included, so the number of fields shown varies from one NPI record to another.
Use the tools below to filter fields by category, search within the record, or jump straight to a specific field. You can download the full record as a CSV, JSON, Markdown or text file, or filter first and export only the fields you need. The Print Clean Summary button produces a printer-friendly copy of the record.
Registry File Document Utilities
- NPI: 1992520118 Field 1/29
- The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
- Entity Type Code: 2 Field 2/29
- Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
- Employer Identification Number EIN: Not available Field 3/29
- The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
- Provider Organization Name Legal Business Name: CLAREMEDICA VIKING LLC Field 4/29
- The name of the organization provider. If the provider is an organization, this is the legal business name.
- Provider First Line Business Mailing Address: 1000 NW 57TH CT STE 400 Field 5/29
- The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
- Provider Business Mailing Address City Name: MIAMI Field 6/29
- The city name in the mailing address of the provider being identified.
- Provider Business Mailing Address State Name: FL Field 7/29
- The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
- Provider Business Mailing Address Postal Code: 331263292 Field 8/29
- The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
- Provider Business Mailing Address Country Code If outside U S : US Field 9/29
- The country code in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address country code".
- Provider Business Mailing Address Telephone Number: 7867583157 Field 10/29
- The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
- Provider First Line Business Practice Location Address: 27455 S DIXIE HWY UNIT 1 Field 11/29
- The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
- Provider Business Practice Location Address City Name: HOMESTEAD Field 12/29
- The city name in the location address of the provider being identified.
- Provider Business Practice Location Address State Name: FL Field 13/29
- The State code in the location of the provider being identified.
- Provider Business Practice Location Address Postal Code: 330328231 Field 14/29
- The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
- Provider Business Practice Location Address Country Code If outside U S : US Field 15/29
- The country code in the location address of the provider being identified.
- Provider Business Practice Location Address Telephone Number: 3052453247 Field 16/29
- The telephone number associated with the location address of the provider being identified.
- Authorized Official Last Name: MULLINIX Field 19/29
- The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
- Authorized Official First Name: MARK Field 20/29
- The first name of the authorized official.
- Authorized Official Middle Name: L Field 21/29
- The middle name of the authorized official.
- Authorized Official Title or Position: CEO Field 22/29
- The title or position of the authorized official.
- Authorized Official Telephone Number: 7867583165 Field 23/29
- The 10-position telephone number of the authorized official.
- Healthcare Provider Taxonomy Code 1: 207Q00000X Field 24/29
- This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
- Healthcare Provider Primary Taxonomy Switch 1: Y Field 25/29
- This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
- Is Organization Subpart: N Field 26/29
- Indicates whether the provider is a subpart of a larger organization. This is a single-character code: "Y" means the entity is an organizational subpart, while "N" means it is not. Subparts typically include hospital departments, clinics, or other distinct units that fall under a parent organization.
- Authorized Official Name Prefix Text: MR. Field 27/29
- The prefix used in the name of the authorized official associated with the provider's NPI record. Examples include Mr., Ms., Mrs., Dr., or other common professional or personal prefixes.
- Healthcare Provider Taxonomy Group 1: 193200000X MULTI-SPECIALTY GROUP Field 28/29
- Specifies whether the provider is part of a single-specialty or multi-specialty business group. The possible values are: 193200000X – Multi-Specialty Group or 193400000X – Single Specialty Group. This field helps distinguish the organizational structure of a provider group.
Secondary Practice Locations 40
The first line of the secondary practice location address of the provider being identified. For providers with more than one physical location, this is a secondary practice location address. This address cannot include a Post Office box.
4155 SW 130th Ave Ste 210
Location 1/40Miami, FL 33175-3417 · Phone (305) 455-3500
3345 Burns Rd Ste 302
Location 2/40Palm Beach Gardens, FL 33410-4321 · Phone (561) 622-7661 · Fax (561) 622-4651
1806 N Pine Island Rd
Location 3/40Plantation, FL 33322-5202 · Phone (954) 474-0110 · Fax (954) 424-9859
4700 N Habana Ave Ste 403
Location 4/40Tampa, FL 33614-7119 · Phone (813) 876-9553 · Fax (813) 877-4109
9835 E Hibiscus St
Location 5/40Palmetto Bay, FL 33157-5406 · Phone (305) 238-8561
1500 E Hillsboro Blvd Ste 210
Location 6/40Deerfield Beach, FL 33441-4348 · Phone (954) 419-9632 · Fax (954) 419-9634
1840 W 49th St Ste 105
Location 7/40Hialeah, FL 33012-2948 · Phone (305) 362-4382
8755 SW 24th St Unit A
Location 8/40Miami, FL 33165-2070 · Phone (305) 475-9999
15335 SW 288th St
Location 9/40Homestead, FL 33033-1356 · Phone (305) 248-3814 · Fax (305) 246-0453
1443 NE 8th St
Location 10/40Homestead, FL 33033-4506 · Phone (305) 246-3864
12294 Indian Rocks Rd
Location 11/40Largo, FL 33774-3001 · Phone (727) 595-2534 · Fax (727) 593-1773
11211 SW 152nd St
Location 12/40Miami, FL 33157-1101 · Phone (305) 255-1355 · Fax (305) 255-2015
4306 W Broward Blvd
Location 13/40Plantation, FL 33317-3752 · Phone (954) 644-8902
7900 NW 27th Ave Ste D10
Location 14/40Miami, FL 33147-4925 · Phone (305) 403-4003
501 NW 103rd Ave
Location 15/40Pembroke Pines, FL 33026-3924 · Phone (954) 251-1497
291-299 SW 27th Ave
Location 16/40Miami, FL 33135-1401 · Phone (305) 858-1828
9605-9607 W Flagler St
Location 17/40Miami, FL 33174-2014 · Phone (305) 559-0278
1759 N University Dr
Location 18/40Hollywood, FL 33024-3601 · Phone (954) 842-2175
1435 NE 8th St
Location 19/40Homestead, FL 33033-4506 · Phone (305) 246-3864
2710 N Orange Blossom Trl
Location 20/40Kissimmee, FL 34744-1309 · Phone (321) 447-6559
1225 NW 40th Ave Unit 2
Location 21/40Lauderhill, FL 33313-5801 · Phone (954) 615-0900
7163-7165 W Flagler Street
Location 22/40MIAMI, FL 33144 · Phone (786) 388-9696
11348 Quail Roost Dr
Location 23/40Miami, FL 33157-6567 · Phone (305) 253-1660
7101 W Flagler St
Location 24/40Miami, FL 33144-2601 · Phone (786) 388-9696
11312A Quail Roost Dr
Location 25/40Miami, FL 33157-6576 · Phone (305) 253-1660
9193 Sunset Dr Ste 210
Location 26/40Miami, FL 33173-3487 · Phone (305) 595-5558
1757 SW 22nd St
Location 27/40Miami, FL 33145 · Phone (786) 442-1040
4300 W Broward Blvd
Location 28/40Plantation, FL 33317-3706 · Phone (954) 644-8902
15105 NW 77th Ave
Location 29/40Miami Lakes, FL 33014-7803 · Phone (305) 455-2737
12996 W Dixie Hwy
Location 30/40North Miami, FL 33161-4810 · Phone (305) 592-5214
5564 E Grant St
Location 31/40Orlando, FL 32822-1666 · Phone (321) 235-6230
4227 13th St
Location 32/40Saint Cloud, FL 34769-6732 · Phone (321) 328-9750
701 E SR 50 Ste 731C
Location 33/40Clermont, FL 34711-3165 · Phone (321) 380-1505
1840 W 49th St Ste 103
Location 34/40Hialeah, FL 33012-2948 · Phone (305) 362-4382
8010 W Colonial Dr Unit 146-162
Location 35/40Orlando, FL 32818-6101 · Phone (407) 434-8080
5378 W 16th Ave
Location 36/40Hialeah, FL 33012-2165 · Phone (305) 820-4101
7800 N University Dr
Location 37/40Tamarac, FL 33321-2128 · Phone (954) 670-1170
9309 N Florida Ave Ste 111
Location 38/40Tampa, FL 33612-7237 · Phone (813) 444-9823
7208 N Sterling Ave
Location 39/40Tampa, FL 33614-4228 · Phone (813) 932-6600
8523 W Hillsborough Ave
Location 40/40Tampa, FL 33615-3809 · Phone (813) 889-9800
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