Individual provider Active NPI

Dane Lawrence, FNP

  • Family Nurse Practitioner
  • Davie, FL
National Provider Identifier
1184240632
Registry record updated Nov 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11007548 Issued in FL
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

Updated by the provider on Nov 1, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201202000791 FL Practitioner - Nurse Practitioner 5597176297 Reassigns benefits to 2 organizations

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
Minuteclinic LLCGroup PAC ID 6709850241, 576 clinicians

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

LicenseStateTypeSpecialty
APRN11007548FLMDFamily Medicine Physician
11007548FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care PLLC Family CurrentSince Nov 5, 2024 Accepting new patients
Minuteclinic Primary Care Florida LLC Family CurrentSince Oct 10, 2025 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.

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

Verify at the official NPI Registry.