NORTHLAKE MEDICAL CENTER NPI 1215092697

NPI Information

NPI: 1215092697
Provider Name: NORTHLAKE MEDICAL CENTER
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
4300 NORTHLAKE BLVD
PALM BEACH GARDENS, FL
ZIP 33410
Phone: (561) 626-9190
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NORTHLAKE MEDICAL CENTER is a primary care clinic center in Palm Beach Gardens, FL. NORTHLAKE MEDICAL CENTER NPI is 1215092697. The provider is registered as an organization entity type.

The provider's business location address is:

4300 NORTHLAKE BLVD
PALM BEACH GARDENS, FL
ZIP 33410-254
Phone: (561) 626-9190
Fax: (561) 626-7274

The provider's authorized official is Robert William Mackler .
The authorized official title is Owner and has the following contact phone number (561) 626-9192.

The enumeration date for this NPI number is 12/26/2006 and was last updated on 8/22/2020.

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	261QP2300X	Clinic/Center	Primary Care			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	ME39831	OTHER	FLORIDA	MEDICAL LICENSE NUMBER

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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