NPIMap

Organization Active NPI

First Patient Care Clinic @ Davie

  • Primary Care Clinic/Center
  • Fort Lauderdale, FL
National Provider Identifier
1306652995
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
FIRST PATIENT CARE CLINIC @ DAVIE
Practice address
3228 Davie Blvd
Fort Lauderdale, FL 33312-2766
Phone
(954) 533-4508
Fax
(561) 266-3447
NPI assigned
Dec 9, 2024
Organization subpart
Yes
Parent organization
FIRST PATIENT CARE CLINIC,INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 9, 2024

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

Authorized official

Name
Guerry FaustinNPI 1114359700
Title
Medical Director
Phone
(561) 266-3487

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
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

3228 Davie Blvd
Fort Lauderdale, FL 33312-2766

Mailing address

3228 Davie Blvd
Fort Lauderdale, FL 33312-2766
Phone (954) 533-4508

National Provider Directory

National Provider Directory
Tax ID family
First Patient Care Clinic Riviera3 organizations share this tax ID, including this one
Part of
First Patient Care Clinic Riviera

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3228 Davie Blvd
Fort Lauderdale, FL 33312
Phone (954) 533-4508

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1733702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733702400000",
    "number": "1306652995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3228 DAVIE BLVD",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333122766",
            "telephone_number": "954-533-4508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3228 DAVIE BLVD",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333122766",
            "telephone_number": "954-533-4508",
            "fax_number": "561-266-3447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST PATIENT CARE CLINIC @ DAVIE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FIRST PATIENT CARE CLINIC,INC",
        "enumeration_date": "2024-12-09",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-08",
        "status": "A",
        "authorized_official_last_name": "FAUSTIN",
        "authorized_official_first_name": "GUERRY",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "561-266-3487"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2024; 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.