OrganizationActive
La Clinique 300 Inc
NPI 1689059453 · Clinic/Center · Wilton Manors, FL
Provider details
- NPI number
- 1689059453
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Joseph Fanfan Jr MD PA
- Organization subpart
- Yes
- Authorized official
- Joseph Fanfan, President(954) 525-4900
- License
- ME43065 (FL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
2630 N Andrews Ave
Wilton Manors, FL 33311-2550
Phone: (954) 525-4900
Fax: (954) 396-3110
Street-level locationGet directions
Mailing address
2630 N Andrews Ave
Wilton Manors, FL 33311-2550
Other names (DBA / former)
- Doing business as
- Joseph Fanfan Jr MD PA
Registry dates
- Enumerated
- 2015-07-22
- Last updated
- 2016-05-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.