NRG CLINIC LLC NPI 1376270728

NPI Information

  • NPI: 1376270728
  • Provider Name: NRG CLINIC LLC
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • Other Name: NRG CLINIC
  • Address: 200 W PALMETTO PARK RD STE 306
    BOCA RATON, FL
    ZIP 33432
  • Phone: (561) 755-7197

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NPI Details

NRG CLINIC LLC is a general practice in Boca Raton, FL. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee NRG CLINIC LLC NPI is 1376270728. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Nrg Clinic.

The provider's business location address is:

200 W PALMETTO PARK RD STE 306
BOCA RATON, FL
ZIP 33432-759
Phone: (561) 755-7197

The provider's authorized official is Fred Moldt .
The authorized official title is Ceo and has the following contact phone number (561) 755-7197.

The enumeration date for this NPI number is 8/5/2022 and was last updated on 5/17/2023.

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
1208D00000XGeneral PracticeYes

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: 11/21/2025

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