DR. JOSEPH FANFAN JR. (NPI# 1265608616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265608616 |
| Entity Type | Individual |
| Full Name | DR. JOSEPH FANFAN JR. |
| Credential | M.D. |
| Practice Address |
2630n Andrews Ave Wilton Manors FL 33311-2550 |
| Practice Telephone | 9545254900 |
| Practice Fax Number | 9543963110 |
| Mailing Telephone | 9545254900 |
| Mailing Fax Number | 9543963110 |
| Enumeration Date | 2008-05-06 |
| Last Update Date | 2015-08-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | ME43065 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 068166100 | 05 |
| Street Address |
2630N ANDREWS AVE |
| City | WILTON MANORS |
| State | FL |
| Zip Code | 33311-2550 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699390336 | Rosenie B Jasmin | Family Medicine | Dove Medical Centers, LLC, 2901 West Oakland Park Blvd Ste A4-5, Oakland Park, FL 33311 | 2020-06-09 |
| 1942769534 | Cbd Skeletal Solutions, LLC | Durable Medical Equipment & Medical Supplies | 630 Tennis Club Drive, Outerbridge - 407, Ft. Lauderdale, FL 33311 | 2019-03-14 |
| 1770049116 | Jordan Matthew Nodelman | Social Worker | 871 W Oakland Park Boulevard, Oakland Park, FL 33311 | 2019-02-11 |
| 1417422304 | Carebridge Home Health of Flrorida | Home Health | 1871 West Oakland Park Blvd, Suite E, Oakland Park, FL 33311 | 2018-10-08 |
| 1992287130 | Michael Ray Johnson | Counselor | 900 Nw 31 Ave, Suite #2000, Ft Laud, FL 33311 | 2018-09-04 |
| 1477047058 | Latino Medical Center IIi | General Practice | 3670 W Oakland Blvd, Lauderdale Lakes, FL 33311 | 2018-06-18 |
| 1316442049 | Anita Fox | Non-emergency Medical Transport (VAN) | 2880 West Oakland Park Blvd, 234, Oakland Park, FL 33311 | 2018-03-26 |
| 1669995957 | Lola J Lewis-walker | Nurse Practitioner | 925 Nw 14th St, Fort Lauderdale, FL 33311 | 2017-07-19 |
| 1598294936 | Abigail D Garcia | Counselor | 713 Nw 1st Ave, Fort Lauderdale, FL 33311 | 2017-06-08 |
| 1548712524 | Hubert Faustin | Counselor | 1409 Nw 1st Avenue, Fort Lauderdale, FL 33311 | 2016-10-26 |
| Find all providers in zip 33311 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992803688 | Howard Scott Khani | Family Medicine | 2140 Ne 26th St, Wilton Manors, FL 33305-1536 | 2006-09-20 |
| 1467472068 | Las Olas Medical Group & Spa | Family Medicine | 2607 Ne 10th Ave, Wilton Manors, FL 33334-3707 | 2006-07-19 |
| 1629006119 | Florida Institute of Health Ltd Lllp | Family Medicine | 2630 N Andrews Avenue, Wilton Manors, FL 33305 | 2006-06-30 |
| 1386057966 | Hussein Anan | Family Medicine | 1201 Ne 26th St Ste 109, Wilton Manors, FL 33305-1206 | 2014-06-11 |
| 1598034167 | Sheryl Jeanette Zayas | Family Medicine | 871 W Oakland Park Blvd, Wilton Manors, FL 33311-1731 | 2011-12-27 |
| 1518247337 | North Broward Hospital District | Family Medicine | 2101 Ne 26th St, Wilton Manors, FL 33305-1535 | 2011-08-24 |
| 1679702278 | Rachael Gittens Md LLC | Family Medicine | 1100 W Oakland Park Blvd, Unit 3, Wilton Manors, FL 33311-1612 | 2009-07-06 |
| 1013172873 | Karl S Brot Md Pa | Family Medicine | 1749 Ne 26th St, Suite E, Wilton Manors, FL 33305-1428 | 2008-07-22 |
| 1568677961 | Fred D Khani | Family Medicine | 2140 Ne 26th St, Wilton Manors, FL 33305-1536 | 2007-05-11 |
| 1174743744 | Las Olas Urgent Care | Family Medicine | 2607 Ne 10th Ave, Wilton Manors, FL 33334-3707 | 2007-04-26 |
| Find all providers in WILTON MANORS | ||||
| City | WILTON MANORS |
| Zip Code | 33311 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.