Active NPI
Pediatric Medical Daycare of Fort Lauderdale, LLC
- Medically Fragile Infants and Children Day Care
- Fort Lauderdale, FL
National Provider Identifier
1013639673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medically Fragile Infants and Children Day Care
- Legal business name
- PEDIATRIC MEDICAL DAYCARE OF FORT LAUDERDALE, LLC
- Practice address
- 2122 NW 62ND St Ste 103
Fort Lauderdale, FL 33309-1866 - Phone
- (954) 838-5288
- NPI assigned
- Sep 12, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Karrie A Toms
- Title
- Cfo
- Phone
- (954) 731-3350
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Care Agency | 251J00000X | |||
| Clinic/Center | 261Q00000X | |||
| Medically Fragile Infants and Children Day Care | 261QM3000X | Primary |
Addresses
Primary practice location
2122 NW 62ND St Ste 103
Fort Lauderdale, FL 33309-1866
Mailing address
5310 NW 33Rd Ave Ste 211
Fort Lauderdale, FL 33309-6319
Phone (954) 731-3350
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Fort Lauderdale, FL
- NPI 1811713886
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662940800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1682294400000",
"number": "1013639673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5310 NW 33RD AVE STE 211",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333096319",
"telephone_number": "954-731-3350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2122 NW 62ND ST STE 103",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333091866",
"telephone_number": "954-838-5288"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEDIATRIC MEDICAL DAYCARE OF FORT LAUDERDALE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-09-12",
"last_updated": "2023-04-24",
"certification_date": "2023-04-24",
"status": "A",
"authorized_official_last_name": "TOMS",
"authorized_official_first_name": "KARRIE",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "954-731-3350"
},
"taxonomies": [
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM3000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medically Fragile Infants and Children Day Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Lauderdale, FL
- Nina Joy Pearlmutter, MD
- Colleen M. Pearson, PSY.D.
- Ryan John Pearson
- Joseph Emanuel Pechter, D.M.D.
- Fiona N Peck, M.A.
- Pediatric Services of America, LLC
- Pediatric Services of America, LLC
- Pediatrix Medical Group of Florida Inc
- Pediatrix Medical Group of Florida Inc
- Pediatrix Medical Group of Florida Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.