Organization Active NPI

Shaly Robince Inc

Doing business as Intercare Clinic

  • Family Nurse Practitioner
  • Lauderdale Lakes, FL
National Provider Identifier
1114640778
Registry record updated Apr 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
SHALY ROBINCE INC
Doing business as
Intercare Clinic
Practice address
4850 W Oakland Park Blvd Ste 115
Lauderdale Lakes, FL 33313-7268
Phone
(954) 486-8663
Fax
(954) 486-8979
NPI assigned
Sep 20, 2022
Last updated
Apr 2, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2025

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

Authorized official

Name
Shaly Robince, NPNPI 1255980066
Title
Owner
Phone
(954) 486-8663

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

4850 W Oakland Park Blvd Ste 115
Lauderdale Lakes, FL 33313-7268

Mailing address

4850 W Oakland Park Blvd Ste 115
Lauderdale Lakes, FL 33313-7268
Phone (954) 486-8663

Other names 1

  • INTERCARE CLINIC Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL www.officeally.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241022000828 FL Part B Supplier - Clinic/Group Practice 2567994072 Receives reassigned benefits from 2 practitioners
Practice locations: Lauderdale Lakes, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0997699Intercare Clinic4850 W Oakland Park Blvd, Ste 115, Lauderdale Lakes, FL 33313Certificate of waiverMar 24, 2028

National Provider Directory

National Provider Directory

Locations

4850 W Oakland Park Blvd
Ste 115
Lauderdale Lakes, FL 33313
Phone (954) 486-8663

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1663632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743552000000",
    "number": "1114640778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4850 W OAKLAND PARK BLVD STE 115",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333137268",
            "telephone_number": "954-486-8663",
            "fax_number": "954-840-8254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4850 W OAKLAND PARK BLVD STE 115",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333137268",
            "telephone_number": "954-486-8663",
            "fax_number": "954-486-8979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHALY ROBINCE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-20",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A",
        "authorized_official_last_name": "ROBINCE",
        "authorized_official_first_name": "SHALY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-486-8663",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "www.officeally.com",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "address_1": "4850 W Oakland Park Blvd Ste 115",
            "city": "Lauderdale Lakes",
            "state": "FL",
            "country_code": "US",
            "postal_code": "333137268",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "INTERCARE CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lauderdale Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.