DR. CANDY C LUCAS (NPI# 1306149992) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1306149992 |
Entity Type | Individual |
Full Name | DR. CANDY C LUCAS |
Credential | D.C. |
Practice Address |
4200 Sw 54th Ct Fort Lauderdale FL 33314 |
Mailing Address |
11571 Nw 20th Ct Plantation FL 33323-2007 |
Practice Telephone | 9549993661 |
Mailing Fax Number | 9542524332 |
Enumeration Date | 2010-12-21 |
Last Update Date | 2019-10-30 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 111N00000X | Chiropractor | CH10147 | FL | Chiropractic Providers |
Address | Telephone Number | Fax Number |
---|---|---|
12565 Orange Dr, Suite 404, Davie, FL 333304303 | 9544238909 | 9543431498 |
Street Address |
4200 SW 54TH CT |
City | FORT LAUDERDALE |
State | FL |
Zip Code | 33314 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861690851 | Craig Alan Handwerker | Counselor | 4200 Sw 54th Ct, Fort Lauderdale, FL 33314 | 2007-07-11 |
1538675004 | Crossroads Wellness Group, LLC | Chiropractor | 4200 Sw 54th Ct, Fort Lauderdale, FL 33314-6726 | 2017-12-20 |
1255846903 | Ricardo A Gomez | Nurse Practitioner | 4200 Sw 54th Ct, Fort Lauderdale, FL 33314-6726 | 2017-12-04 |
1104336387 | Jordan J Augustin | Nurse Practitioner | 4200 Sw 54th Ct, Fort Lauderdale, FL 33314-6726 | 2017-10-02 |
1962939496 | Sherna Constant | Nurse Practitioner | 4200 Sw 54th Ct, Fort Lauderdale, FL 33314-6726 | 2017-05-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386119949 | Tiffany Allen | Case Manager/Care Coordinator | 6602 Sw 41st Street, Davie, FL 33314 | 2018-10-10 |
1053804047 | Shannon Stowe | Specialist/Technologist | 3160 Palm Trace Landings Dr Apt 731, Davie, FL 33314 | 2018-06-13 |
1700374238 | Christian D Cameron | Developmental Therapist | 5900 Sw 24th Pl Unit 203, Davie, FL 33314 | 2018-04-30 |
1902308836 | Infusion Nurse Experts LLC | Home Health | 4802 Sw 51st Street, Davie, FL 33314 | 2018-03-07 |
1134658495 | Luz Arevalo | Behavioral Analyst | 6630 Sw 41 Pl, Davie, FL 33314 | 2017-06-08 |
1194253815 | Migdalis Padron | Behavior Technician | 4491 Sw 52nd Ct Apt 8, Fort Lauderdale, FL 33314 | 2017-05-25 |
1710240833 | Victor Pabon | Adult Companion | 4828 Sw 47 Lane, Davie, FL 33314 | 2012-06-22 |
1437433802 | Laura Maritsa Canciani | Counselor | 6005 Stirling Road #124, Davie, FL 33314 | 2011-10-04 |
1770729840 | Therapeeds, Inc. | Occupational Therapist | 5951 Orange Drive, Davie, FL 33314 | 2008-12-19 |
1346447935 | Laura R Johnson-doan | Massage Therapist | 1920 E Hallandale Blvd, #901, Hallandale, FL 33314 | 2007-06-28 |
Find all providers in zip 33314 |
Taxonomy Code | 111N00000X |
Grouping | Chiropractic Providers |
Classification | Chiropractor |
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760016323 | Anthony Leonardi | Chiropractor | 803 W Las Olas Blvd, Fort Lauderdale, FL 33312-7148 | 2020-02-23 |
1548802143 | Elizabeth Bednar | Chiropractor | 1819 E Commercial Blvd, Fort Lauderdale, FL 33308-3767 | 2019-10-15 |
1518510841 | Mobile Chiro Rehab, Inc. | Chiropractor | 618 Sw 6th St, Fort Lauderdale, FL 33315-1034 | 2019-07-16 |
1972065662 | Michelle Cruz-abril | Chiropractor | 450 Ne 5th St Ste 7, Fort Lauderdale, FL 33301-3497 | 2019-04-02 |
1780158774 | Avalon Medical & Rehabilitation Center LLC | Chiropractor | 3601 W Commercial Blvd Ste 18, Fort Lauderdale, FL 33309-3320 | 2019-01-14 |
1477041010 | Gary Ralph Douglas | Chiropractor | 3077 E Commercial Blvd # 1a, Fort Lauderdale, FL 33308-4311 | 2018-04-30 |
1336644889 | Chris Morgan Henderson Pllc | Chiropractor | 2520 Sw 34th Ave, Fort Lauderdale, FL 33312-4738 | 2018-03-27 |
1962925313 | Morgan Christine Grothman | Chiropractor | 2631 E Oakland Park Blvd Ste 104, Fort Lauderdale, FL 33306-1607 | 2017-07-18 |
1952836652 | Sherif Musa | Chiropractor | 3333 W Commercial Blvd Ste 101, Fort Lauderdale, FL 33309-3424 | 2017-05-01 |
1730630179 | Dexter Hinds | Chiropractor | 4800 Ne 20th Ter Ste 102c, Fort Lauderdale, FL 33308-4510 | 2016-10-20 |
Find all providers in FORT LAUDERDALE |
City | FORT LAUDERDALE |
Zip Code | 33314 |
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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.