MEDICARE: CAREMAX MEDICAL CENTER OF BROWARD, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1285342022
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAREMAX MEDICAL CENTER OF BROWARD, LLC

Provider Business Mailing Address
First Line	:	1000 NW 57TH CT STE 400
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33126-3292
Country	:	US
Telephone Number	:	305-649-8100
Fax Number	:

Provider Business Practice Location Address
First Line	:	998 N FEDERAL HWY STE 1
Second Line	:
City	:	POMPANO BEACH
State	:	FL
Zip	:	33062-4342
Country	:	US
Telephone Number	:	754-800-3906
Fax Number	:	754-800-3907

Authorized Official
Title or Position	:	CHIEF EXECUTIVE OFFICER
Name	:	CARLOS DE SOLO
Credential	:
Telephone Number	:	305-649-8100

Provider Enumeration Date	:	11/10/2022
Last Update Date	:	08/13/2024

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