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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