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MBS EVOLUTION NPI 1811415094


NPI Information

NPI: 1811415094
Provider Name: MBS EVOLUTION
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
5608 PGA BLVD STE 208
PALM BEACH GARDENS, FL
ZIP 33418
Phone: (561) 844-8188
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MBS EVOLUTION is a health service clinic center in Palm Beach Gardens, FL. MBS EVOLUTION NPI is 1811415094. The provider is registered as an organization entity type.

The provider's business location address is:

5608 PGA BLVD STE 208
PALM BEACH GARDENS, FL
ZIP 33418-121
Phone: (561) 844-8188
Fax: (561) 844-8142

The provider's authorized official is Brian Tully .
The authorized official title is Ceo and has the following contact phone number (561) 844-8188.

The enumeration date for this NPI number is 9/7/2017 and was last updated on 7/21/2022.


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
1261QH0100XClinic/CenterHealth ServiceYes

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

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.