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La Clinique 300 Inc

Clinic/Center in Wilton Manors, FL · enumerated 2015 · authorized official Joseph Fanfan, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1689059453

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Registry record

Entity type Organization (Type 2)
Legal business name La Clinique 300 Inc
Other name <Unavail>
Parent organization Joseph Fanfan Jr MD PA
Practice address 2630 N Andrews Ave, Wilton Manors, FL, 33311
Phone (954) 525-4900
Fax (954) 396-3110
Enumeration date Jul 22, 2015
Last updated in NPPES May 9, 2016

Taxonomy & classification

261Q00000X Clinic/Center Ambulatory Health Care Facilities · License ME43065 (FL) Primary

Authorized official

Name Joseph Fanfan
Title President
Phone (954) 525-4900

Other identifiers

Identifier Type State Issuer
068166100 Medicaid FL -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for La Clinique 300 Inc?
NPPES lists Joseph Fanfan (President) as the authorized official for this organization.
What is the NPI number for La Clinique 300 Inc?
The NPI for La Clinique 300 Inc is 1689059453, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-05-09.