OrganizationActive
Lauderdale Health and Wellness Inc.
NPI 1255573879 · Preventive Medicine/Occupational Environmental Medicine Physician · Fort Lauderdale, FL
Provider details
- NPI number
- 1255573879
- Entity type
- Organization
- Primary specialty
- Preventive Medicine/Occupational Environmental Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jeff Thackrey, Director(954) 688-4072
- License
- ME93287 (FL)
Specialties & taxonomies
- Preventive Medicine/Occupational Environmental Medicine PhysicianPrimary2083P0500XLicense ME93287 (FL)
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6400 N Andrews Ave
Ste 120
Fort Lauderdale, FL 33309-2114
Phone: (954) 688-4072
Fax: (954) 653-7209
Street-level locationGet directions
Mailing address
6400 N Andrews Ave
Fort Lauderdale, FL 33309-2114
Other names (DBA / former)
- Doing business as
- Bodylogicmd of Fort Lauderdale
Registry dates
- Enumerated
- 2009-03-27
- Last updated
- 2014-10-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.