MEDICARE: CAREMAX MEDICAL CENTER 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	:	1306539622
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAREMAX MEDICAL CENTER 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	:	400 S OLIVE AVE
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33401-5921
Country	:	US
Telephone Number	:	305-649-8100
Fax Number	:

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

Provider Enumeration Date	:	06/01/2023
Last Update Date	:	06/07/2023

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