Organization
WE CARE FAMILY CLINIC INCORPORATED
Active
Organization
WE CARE FAMILY CLINIC INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA ANN-MARIE DAVIS-FOWLER PA-C (OWNER)
(954) 533-5900
Entity
Organization
Contact information
Practice address
4410-12 W. OAKLAND PARK BLVD., LAUDERDALE LAKES, FL 33313
(954) 533-5900
Mailing address
4410-12 W. OAKLAND PARK BLVD., LAUDERDALE LAKES, FL 33313
(954) 533-5900
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9102369
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
292343200
—
FL
Enumeration date
04/13/2011
Last updated
04/13/2011
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