Provider Demographics
NPI:1255879060
Name:ROUND CARE, INC
Entity type:Organization
Organization Name:ROUND CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:STERNE
Authorized Official - Suffix:
Authorized Official - Credentials:MSN, ARNP, FNP-BC
Authorized Official - Phone:754-234-0155
Mailing Address - Street 1:300 W SUNRISE BLVD STE 3
Mailing Address - Street 2:
Mailing Address - City:FT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33311-6200
Mailing Address - Country:US
Mailing Address - Phone:754-234-0155
Mailing Address - Fax:
Practice Address - Street 1:300 W SUNRISE BLVD STE 3
Practice Address - Street 2:
Practice Address - City:FT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33311-6200
Practice Address - Country:US
Practice Address - Phone:754-234-0155
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-01
Last Update Date:2017-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME471002084A0401X
FLARNP9299227363LF0000X
FLOS5102207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No2084A0401XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction MedicineGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLOS512OtherFAMILY MEDICINE
FLARNP9299227OtherNURSE PRACTITIONER
FLARNP9299227OtherNURSE PRACTITIONER
FL11064VMedicare PIN
D60746Medicare UPIN
FLARNP9299227OtherNURSE PRACTITIONER
GA40316OtherFAMILY MEDICINE
102250OtherUNITED HEALTH CARE
1685824OtherCIGNA
FL11064VMedicare PIN
208915OtherAVMED
FL044080900Medicaid
4201051OtherAETNA
D60746Medicare UPIN
FL268434900Medicaid