Healthcare Provider Details

I. General information

NPI: 1992812994
Provider Name (Legal Business Name): WAYNE H CASE MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2006
Last Update Date: 08/02/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17933 NW 7 ST SUITE 102
PEMBROKE PINES FL
33029
US

IV. Provider business mailing address

3410 WEST 84 ST SUITE 100 BLDG F
HIALEAH FL
33018
US

V. Phone/Fax

Practice location:
  • Phone: 954-436-1927
  • Fax: 954-436-0463
Mailing address:
  • Phone: 305-558-3571
  • Fax: 305-558-3682

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. WAYNE H CASE
Title or Position: PHYSICIAN OWNER
Credential: MD
Phone: 305-558-3571