BONAFIDE HEALTHCARE SERVICES LLC NPI 1205460474

NPI Information

NPI: 1205460474
Provider Name: BONAFIDE HEALTHCARE SERVICES LLC
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
8579 GRAND PRIX LN
BOYNTON BEACH, FL
ZIP 33472
Phone: (754) 245-9993
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BONAFIDE HEALTHCARE SERVICES LLC is a primary care nurse practitioner in Boynton Beach, FL. BONAFIDE HEALTHCARE SERVICES LLC NPI is 1205460474. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

8579 GRAND PRIX LN
BOYNTON BEACH, FL
ZIP 33472-736
Phone: (754) 245-9993

The provider's authorized official is Marie B Samson-joseph .
The authorized official title is President and has the following contact phone number (754) 245-9993.

The enumeration date for this NPI number is 2/26/2020 and was last updated on 6/4/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP2300X	Nurse Practitioner	Primary Care			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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