Wanda Jean Collins Plan Administrator

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

WANDA JEAN COLLINS PLAN ADMINISTRATOR

Practice address

5440 N State Road 7 Ste 212
Fort Lauderdale, FL 33319-2900

Phone

(561) 399-9371

NPI assigned

Jul 14, 2025

Last updated

Sep 4, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Wanda CollinsNPI 1063228393

Title

Plan Administrator

Phone

(561) 399-9371

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Wanda J Collins

  • Peer Specialist
  • Oakland Park, FL
  • NPI 1063228393
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1752451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756944000000",
    "number": "1063303428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3686 NW 95TH TER # 4M",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333516463",
            "telephone_number": "561-399-9371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5440 N STATE ROAD 7 STE 212",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333192900",
            "telephone_number": "561-399-9371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WANDA JEAN COLLINS PLAN ADMINISTRATOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-14",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "WANDA",
        "authorized_official_title_or_position": "PLAN ADMINISTRATOR",
        "authorized_official_telephone_number": "561-399-9371"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suzanne G Walters
• James Dexter Walton II, LCSW
• Samonik Walton
• Catherine L Waltz, PHD LCSW
• Deana Susan Wamboldt, M.S., CCC-SLP
• Hong Wang, MD
• Shudong Wang, A.P.
• Simon Wansa, MD
• Farheen Waquad, MS
• Cassandra War

• Clinical Medical Laboratory in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Clinical Medical Laboratory in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2025; 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.