MEDWIN CLINICIANS
NPI 1275168650
Clinic/Center - Primary Care in Lauderdale Lakes, FL

Active since March 06, 2020CLIA 10D2209258 · Waiver
4850 W OAKLAND PARK BLVD STE 224, LAUDERDALE LAKES, FL 33313(786) 214-2001 Get Directions Write a Review

NPPES record last updated: April 8, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 8, 2021, Mar 6, 2020 (2 updates tracked since 2020).

About Medwin Clinicians NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEDWIN CLINICIANS (NPI 1275168650) is a healthcare organization registered as a primary care in Lauderdale Lakes, Florida and active in the NPI registry since March 2020. The organization holds a CLIA Waiver certificate valid through January 11, 2027, maintains a secondary practice location in Miami, and lists Micah Boaz Edwin, President, as its authorized official.

NPPES Registry Identity

NPI1275168650
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameMEDWIN PA
Location Address4850 W OAKLAND PARK BLVD STE 224Lauderdale Lakes, FL 33313-7261
Mailing AddressPo Box 4067Ft Lauderdale, FL 33338-4067 · (786) 214-2001
Organization SubpartNo
Authorized OfficialMicah Boaz EdwinPresident · (786) 214-2001
Enumeration DateMarch 6, 2020
Last NPPES UpdateApril 8, 20212 updates tracked since enumeration
NPPES CertifiedMarch 2, 2021
NPI 1275168650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
4850 W OAKLAND PARK BLVD STE 224, Lauderdale Lakes, FL 33313

Other Names 1

Doing Business AsMedwin Clinicians

Secondary Practice Location 1

Location 19900 SW 107th Ave Ste 100Miami, FL 33176-2798 · Phone (305) 307-7070

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2209258

Medwin PA · Lauderdale Lakes, FL
Active · expires Jan 11, 2027
CLIA Number10D2209258
Laboratory TypePhysician Office
Certificate Effective DateJanuary 12, 2025
Certificate Expiration DateJanuary 11, 2027
Laboratory DirectorMicah Edwin MD
Laboratory Phone(786) 214-2001
Laboratory LocationMedwin PA4850 W Oakland Park Blvd Ste 224, Lauderdale Lakes, FL 33313
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

General Practice
4850 W OAKLAND PARK BLVD STE 224
LAUDERDALE LAKES, FL 33313

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Medwin PA's NPI number?

The NPI number for Medwin PA is 1275168650. It was assigned to this organization in the NPPES registry on March 6, 2020. The provider is doing business as Medwin Clinicians.

Where is Medwin PA located?

Medwin PA is located at 4850 W Oakland Park Blvd Ste 224, Lauderdale Lakes, FL 33313. The listed phone number is (786) 214-2001.

What is Medwin PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Medwin PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2209258) is associated with this NPI, valid through January 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Medwin PA was last updated on April 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.