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Organization
CCRM FLORIDA LLC
Active
Organization
CCRM FLORIDA LLC
Active
Other names
CCRM Florida
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE RAVECH (CHIEF MANAGED CARE OFFICER)
(860) 305-6640
Entity
Organization
Contact information
Practice address
19505 BISCAYNE BLVD, MIAMI, FL 33180-2314
(303) 885-5762
Mailing address
9380 STATION ST, LONE TREE, CO 80124-6831
(303) 885-5762
Taxonomy
Speciality
Code
Description
License number
State
261QA0006X
Ambulatory Fertility Facility
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
04/14/2022
Last updated
04/24/2025
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