Organization Active NPI

WN Medical Inc

  • Primary Care Clinic/Center
  • Plantation, FL
National Provider Identifier
1124526520
Registry record updated Jan 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
70140 Issued in FL
Legal business name
WN MEDICAL INC
Practice address
499 NW 70TH Ave
Plantation, FL 33317-7500
Phone
(954) 587-7577
NPI assigned
Jan 31, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2018

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

Authorized official

Name
Dr. Sandra F Williams, MD
Title
President
Phone
(954) 913-6823

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 70140 FL Primary

Addresses

Primary practice location

499 NW 70TH Ave
Plantation, FL 33317-7500

Mailing address

4902 NW 66TH Ave
Lauderhill, FL 33319-7208
Phone (954) 913-6823

National Provider Directory

National Provider Directory

Locations

499 NW 70th Ave
Plantation, FL 33317
Phone (754) 800-1426

NPI Registry JSON

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

{
    "created_epoch": "1517356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517356800000",
    "number": "1124526520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4902 NW 66TH AVE",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333197208",
            "telephone_number": "954-913-6823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "499 NW 70TH AVE",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333177500",
            "telephone_number": "954-587-7577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WN MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-31",
        "last_updated": "2018-01-31",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-913-6823",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "70140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2018; 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.