NPIMap

Organization Active NPI

Compcare Medical Center, LLC

  • General Practice Physician
  • Oakland Park, FL
National Provider Identifier
1114565124
Registry record updated Aug 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
COMPCARE MEDICAL CENTER, LLC
Doing business as
Compcare Medical Center LLC
Practice address
2701 W Oakland Park Blvd Ste 310 4/6
Oakland Park, FL 33311-1389
Phone
(954) 306-3481
Fax
(445) 300-9263
NPI assigned
Dec 20, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2023

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

Authorized official

Name
Mrs. Stephanie Brown, APRN
Title
Owner
Phone
(954) 306-3481

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary
Clinic/Center 261Q00000X
Health Service Clinic/Center 261QH0100X

Addresses

Primary practice location

2701 W Oakland Park Blvd Ste 310 4/6
Oakland Park, FL 33311-1389

Mailing address

2701 W Oakland Park Blvd Ste 3701 4/6
Oakland Park, FL 33311-1388
Phone (954) 306-3481

Other names 1

  • Compcare Medical Center LLC Doing business as

National Provider Directory

National Provider Directory

Locations

2701 W Oakland Park Blvd
Ste 310
Oakland Park, FL 33311
Phone (855) 297-8818

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1576800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690934400000",
    "number": "1114565124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 W OAKLAND PARK BLVD STE 3701 4/6",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333111388",
            "telephone_number": "954-306-3481",
            "fax_number": "445-300-9263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 W OAKLAND PARK BLVD STE 310 4/6",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333111389",
            "telephone_number": "954-306-3481",
            "fax_number": "445-300-9263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPCARE MEDICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-20",
        "last_updated": "2023-08-02",
        "certification_date": "2023-03-01",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-306-3481",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Compcare Medical Center LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Compcare Medical Center LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oakland Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.