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INTERACTIVEMD LLC NPI 1790031300


NPI Information

NPI: 1790031300
Provider Name: INTERACTIVEMD LLC
Classification: Registered Nurse - 163WD0400X
Entity Type: Organization

Specialization: Diabetes Educator

Address:
5300 BROKEN SOUND BLVD NW
SUITE 200
BOCA RATON, FL
ZIP 33487
Phone: (888) 657-2560
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INTERACTIVEMD LLC is a diabetes educator registered nurse in Boca Raton, FL. INTERACTIVEMD LLC NPI is 1790031300. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5300 BROKEN SOUND BLVD NW
SUITE 200
BOCA RATON, FL
ZIP 33487-520
Phone: (888) 657-2560
Fax: (561) 998-2057

The provider's authorized official is Gary Wald .
The authorized official title is Chief Operating Officer and has the following contact phone number (888) 657-2560.

The enumeration date for this NPI number is 8/1/2012 and was last updated on 8/1/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1133VN1006XDietitian, RegisteredNutrition, MetabolicNo
2163WD0400XRegistered NurseDiabetes EducatorYes

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.