Healthcare Provider Details

I. General information

NPI: 1740787068
Provider Name (Legal Business Name): CLEVELAND CLINIC FLORIDA (A NONPROFIT CORPORATION)
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/12/2018
Last Update Date: 08/08/2025
Certification Date: 08/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5701 NORTH UNIVERSITY DRIVE
CORAL SPRINGS FL
33067
US

IV. Provider business mailing address

6801 BRECKSVILLE RD SUITE 20, RK2-7
INDEPENDENCE OH
44131
US

V. Phone/Fax

Practice location:
  • Phone: 877-463-2010
  • Fax:
Mailing address:
  • Phone: 216-636-4969
  • Fax: 216-442-1272

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number StateFL

VIII. Authorized Official

Name: DENNIS LARAWAY
Title or Position: EXECUTIVE VP CHIEF FINANCE OFFICER
Credential:
Phone: 216-445-1343