Organization Active NPI

First Medical Care, Inc

  • Primary Care Nurse Practitioner
  • Lauderdale Lakes, FL
National Provider Identifier
1326587346
Registry record updated Jun 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
ARNP9285051 Issued in FL
Legal business name
FIRST MEDICAL CARE, INC
Practice address
4312 N State Road 7
Lauderdale Lakes, FL 33319-4829
Phone
(954) 366-9865
Fax
(844) 478-9719
NPI assigned
Feb 23, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2023

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

Authorized official

Name
Mr. Jovenel Alcime, NURSE PRACTITIONERNPI 1467909523
Title
President
Phone
(954) 366-9865

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 Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LP2300X ARNP9285051 FL Primary

Addresses

Primary practice location

4312 N State Road 7
Lauderdale Lakes, FL 33319-4829

Mailing address

4312 N State Road 7
Lauderdale Lakes, FL 33319-4829
Phone (954) 366-9865

Other practice location 1

4312 N State Road 7
Lauderdale Lakes, FL 33319-4829
Phone (954) 366-9865

Other practice location 2

4312 N State Road 7
Lauderdale Lakes, FL 33319-4829
Phone (954) 366-9865

Other practice location 3

4312 N State Road 7
Lauderdale Lakes, FL 33319-4829
Phone (954) 366-9865

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190726000804 FL Part B Supplier - Clinic/Group Practice 9931464179 Receives reassigned benefits from 4 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
10D2177654First Medical Care, Inc4312 N State Rd 7, Lauderdale Lakes, FL 33319Certificate of waiverJan 14, 2028

National Provider Directory

National Provider Directory

Locations

4312 N State Road 7
Lauderdale Lakes, FL 33319
Phone (954) 306-6200

2750 W Oakland Park Blvd
Ste 10H
Oakland Park, FL 33311
Phone (954) 366-9865

Practitioners & affiliated clinicians

Practitioners 4

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": "1487808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686009600000",
    "number": "1326587346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4312 N STATE ROAD 7",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333194829",
            "telephone_number": "954-366-9865",
            "fax_number": "844-478-9719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4312 N STATE ROAD 7",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333194829",
            "telephone_number": "954-366-9865",
            "fax_number": "844-478-9719"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4312 N State Road 7",
            "address_purpose": "LOCATION",
            "city": "Lauderdale Lakes",
            "state": "FL",
            "postal_code": "333194829",
            "country_code": "US",
            "telephone_number": "954-366-9865",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4312 N State Road 7",
            "address_purpose": "LOCATION",
            "city": "Lauderdale Lakes",
            "state": "FL",
            "postal_code": "333194829",
            "country_code": "US",
            "telephone_number": "954-366-9865",
            "fax_number": "844-478-9719",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4312 N State Road 7",
            "address_purpose": "LOCATION",
            "city": "Lauderdale Lakes",
            "state": "FL",
            "postal_code": "333194829",
            "country_code": "US",
            "telephone_number": "954-366-9865",
            "fax_number": "844-478-9719",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FIRST MEDICAL CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-23",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A",
        "authorized_official_last_name": "ALCIME",
        "authorized_official_first_name": "JOVENEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-366-9865",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NURSE PRACTITIONER"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "ARNP9285051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 6, 2023; 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.