Active NPI
Dane Lawrence, FNP
- Family Nurse Practitioner
- Davie, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 11007548
- Practice address
- 4610 S University Dr
Davie, FL 33328-3818 - Phone
- (954) 629-7486
- NPI assigned
- Jun 21, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 11007548 | FL | Primary |
| Family Medicine Physician | 207Q00000X | APRN11007548 | FL | |
| Family Medicine Physician | 207Q00000X | 11007548 | FL |
Addresses
Primary practice location
4610 S University Dr
Davie, FL 33328-3818
Mailing address
4610 S University Dr
Davie, FL 33328-3818
Phone (954) 629-7486
Other practice location 1
3825 SW 164th Ter
Miramar, FL 33027-4641
Phone (954) 629-7486
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Miramar | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10241 W Broward Blvd
Plantation, FL 33324-2114
Phone (866) 389-2727
10701 NW 41St St
Doral, FL 33178-1867
Phone (866) 389-2727
12280 Lake Underhill Rd
Orlando, FL 32825-5009
Phone (866) 389-2727
12401 Miramar Pkwy
Miramar, FL 33027-2900
Phone (866) 389-2727
312 Lincoln Rd
Miami Beach, FL 33139-3103
Phone (866) 389-2727
7599 W Sand Lake Rd
Orlando, FL 32819-5109
Phone (866) 389-2727
8765 S Dixie Hwy
Miami, FL 33143-7811
Phone (866) 389-2727
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11007548 | FL | MD | Family Medicine Physician |
| 11007548 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Primary Care PLLC | Family | Current | Accepting new patients |
| Minuteclinic Primary Care Florida LLC | Family | Current | Accepting new patients |
Locations
4610 S University Dr
Davie, FL 33328
Phone (954) 434-2002
8740 SW 40th St
Miami, FL 33165
Phone (305) 221-8337
312 Lincoln Rd
Miami Beach, FL 33139
Phone (305) 531-7311
12401 Miramar Pkwy
Miramar, FL 33027
Phone (954) 538-8473
10241 W Broward Blvd
Plantation, FL 33324
Phone 9542360769 ext. 8221
1501 S Federal Hwy
Pompano Beach, FL 33062
Phone (954) 788-0739
1 Cvs Dr
#3040
Woonsocket, RI 02895
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Nurse Practitioner
- Miramar, FL
- NPI 1891502837
-
- Family Nurse Practitioner
- Spring, TX
- NPI 1770354763
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761955200000",
"number": "1184240632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4610 S UNIVERSITY DR",
"city": "DAVIE",
"state": "FL",
"postal_code": "333283818",
"telephone_number": "954-629-7486"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4610 S UNIVERSITY DR",
"city": "DAVIE",
"state": "FL",
"postal_code": "333283818",
"telephone_number": "954-629-7486"
}
],
"practiceLocations": [
{
"address_1": "3825 SW 164th Ter",
"address_purpose": "LOCATION",
"city": "Miramar",
"state": "FL",
"postal_code": "330274641",
"country_code": "US",
"telephone_number": "954-629-7486",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LAWRENCE",
"first_name": "DANE",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-06-21",
"last_updated": "2025-11-01",
"certification_date": "2025-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "11007548",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "APRN11007548",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "11007548",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Miramar",
"affiliation": "N",
"endpointDescription": "Individual",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "3825 SW 164th Ter",
"city": "Miramar",
"state": "FL",
"country_code": "US",
"postal_code": "330274641",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Davie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.