Provider Demographics
NPI:1386431708
Name:CLINICAL CARE SOLUTIONS LLC
Entity type:Organization
Organization Name:CLINICAL CARE SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NEKISHA
Authorized Official - Middle Name:
Authorized Official - Last Name:HYMAN ISMA
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:561-805-1140
Mailing Address - Street 1:4944 SW BERMUDA WAY
Mailing Address - Street 2:
Mailing Address - City:PALM CITY
Mailing Address - State:FL
Mailing Address - Zip Code:34990-1261
Mailing Address - Country:US
Mailing Address - Phone:860-985-8670
Mailing Address - Fax:
Practice Address - Street 1:4944 SW BERMUDA WAY
Practice Address - Street 2:
Practice Address - City:PALM CITY
Practice Address - State:FL
Practice Address - Zip Code:34990-1261
Practice Address - Country:US
Practice Address - Phone:860-985-8670
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-21
Last Update Date:2025-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute CareGroup - Single Specialty
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service