Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

California Club Medical Center LLC

Organization Family Medicine Physician · NPI 1538106919

California Club Medical Center LLC provides Family Medicine Physician services in North Miami Beach, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

850 Ives Dairy Rd Unit 14
North Miami Beach, FL 33179 Not confirmed with CMS for 18 years — call before visiting
Phone: (305) 405-0365
Fax: (305) 405-0370
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence HCC6244 (FL)
Family Medicine Physician Taxonomy 207Q00000X (FL)

Record details

NPI number1538106919
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Grnja — Cfo · (954) 929-3400
NPI enumeratedJune 2, 2006
Last updated in NPPESJuly 31, 2008
Mailing address850 Ives Dairy Road, Unit 14, North Miami Beach, FL 33179

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