Active NPI
Western and Eastern Medical FL PLLC
- Anatomic Pathology & Clinical Pathology Physician
- Fort Lauderdale, FL
National Provider Identifier
1710751805
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- Legal business name
- WESTERN AND EASTERN MEDICAL FL PLLC
- Practice address
- 1441 NE 4TH Ave
Fort Lauderdale, FL 33304 - Phone
- (718) 213-6274
- Fax
- (888) 377-1244
- NPI assigned
- Nov 9, 2023
- 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
- Josephine Wu
- Title
- Administrator
- Phone
- (718) 213-6274
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cytopathology Physician | 207ZC0500X | |||
| Molecular Genetic Pathology (Pathology) Physician | 207ZP0007X | |||
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | Primary | ||
| Clinical Pathology/Laboratory Medicine Physician | 207ZP0105X | |||
| Occupational Medicine Physician | 2083X0100X |
Addresses
Primary practice location
1441 NE 4TH Ave
Fort Lauderdale, FL 33304
Mailing address
1441 NE 4TH Ave
Fort Lauderdale, FL 33304
Phone (718) 213-6274
National Provider Directory
National Provider DirectoryLocations
1441 NE 4th Ave
Fort Lauderdale, FL 33304
Phone (718) 213-6274
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1699488000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1699488000000",
"number": "1710751805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1441 NE 4TH AVE",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "33304",
"telephone_number": "718-213-6274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1441 NE 4TH AVE",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "33304",
"telephone_number": "718-213-6274",
"fax_number": "888-377-1244"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WESTERN AND EASTERN MEDICAL FL PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-11-09",
"last_updated": "2023-11-09",
"certification_date": "2023-11-09",
"status": "A",
"authorized_official_last_name": "WU",
"authorized_official_first_name": "JOSEPHINE",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "718-213-6274"
},
"taxonomies": [
{
"code": "207ZC0500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pathology, Cytopathology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207ZP0007X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pathology, Molecular Genetic Pathology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": null,
"license": null,
"primary": true
},
{
"code": "207ZP0105X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pathology, Clinical Pathology/Laboratory Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2083X0100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Preventive Medicine, Occupational Medicine",
"state": null,
"license": null,
"primary": false
}
],
"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 Nov 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.