Individual
DANE LAWRENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
4610 S UNIVERSITY DR, DAVIE, FL 33328-3818
(954) 629-7486
Mailing address
4610 S UNIVERSITY DR, DAVIE, FL 33328-3818
(954) 629-7486
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
11007548
FL
207Q00000X
Family Medicine Physician
APRN11007548
FL
363LF0000X
Family Nurse Practitioner
Primary
11007548
FL
Other
Enumeration date
06/21/2020
Last updated
11/01/2025
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