Ccg of South Florida LLC
NPI 1497034086ActiveOrganization· Internal Medicine· Coral Springs, FL
Internal Medicine in Coral Springs, Florida, registered in NPPES in August 2011. The authorized official on file is Mario B. Pereira, MD, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1497034086 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 12, 2011 |
| Last updated in NPPES | Aug 12, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (FL) |
|---|
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