Organization Active NPI

Pediatric Medical Daycare of Fort Lauderdale, LLC

  • Medically Fragile Infants and Children Day Care
  • Fort Lauderdale, FL
National Provider Identifier
1013639673
Registry record updated Apr 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medically Fragile Infants and Children Day CareTaxonomy code 261QM3000X
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

Updated by the provider on Apr 24, 2023

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)CodeLicenseStatePrimary
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 Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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

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.

Verify at the official NPI Registry.