Active NPI
We Care Family Clinic Incorporated
- Medical Physician Assistant
- Lauderdale Lakes, FL
National Provider Identifier
1447540315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA9102369
- Legal business name
- WE CARE FAMILY CLINIC INCORPORATED
- Practice address
- 4410-12 W. Oakland Park Blvd.
Lauderdale Lakes, FL 33313 - Phone
- (954) 533-5900
- NPI assigned
- Apr 13, 2011
- Last updated
- Apr 13, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Christina Ann-Marie Davis-Fowler, PA-C
- Title
- Owner
- Phone
- (954) 533-5900
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA9102369 | FL | Primary |
Addresses
Primary practice location
4410-12 W. Oakland Park Blvd.
Lauderdale Lakes, FL 33313
Mailing address
4410-12 W. Oakland Park Blvd.
Lauderdale Lakes, FL 33313
Phone (954) 533-5900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 292343200 | Medicaid | FL |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physician Assistant
- Lauderdale Lakes, FL
- NPI 1366501009
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302652800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1302652800000",
"number": "1447540315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4410-12 W. OAKLAND PARK BLVD.",
"city": "LAUDERDALE LAKES",
"state": "FL",
"postal_code": "33313",
"telephone_number": "954-533-5900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4410-12 W. OAKLAND PARK BLVD.",
"city": "LAUDERDALE LAKES",
"state": "FL",
"postal_code": "33313",
"telephone_number": "954-533-5900"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WE CARE FAMILY CLINIC INCORPORATED",
"organizational_subpart": "NO",
"enumeration_date": "2011-04-13",
"last_updated": "2011-04-13",
"status": "A",
"authorized_official_last_name": "DAVIS-FOWLER",
"authorized_official_first_name": "CHRISTINA",
"authorized_official_middle_name": "ANN-MARIE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "954-533-5900",
"authorized_official_credential": "PA-C"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "FL",
"license": "PA9102369",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "292343200",
"state": "FL"
}
],
"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 Apr 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.