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MIL-LAKE MEDICAL TWO PA NPI 1821348616


NPI Information

NPI: 1821348616
Provider Name: MIL-LAKE MEDICAL TWO, PA
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
2401 QUANTUM BLVD
BOYNTON BEACH, FL
ZIP 33426
Phone: (561) 739-9333
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MIL-LAKE MEDICAL TWO, PA is a primary care clinic center in Boynton Beach, FL. MIL-LAKE MEDICAL TWO, PA NPI is 1821348616. The provider is registered as an organization entity type.

The provider's business location address is:

2401 QUANTUM BLVD
BOYNTON BEACH, FL
ZIP 33426-612
Phone: (561) 739-9333
Fax: (561) 739-9911

The provider's authorized official is David Abellard .
The authorized official title is Administrator and has the following contact phone number (561) 433-4446.

The enumeration date for this NPI number is 9/19/2012 and was last updated on 9/19/2012.


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
1261QU0200XClinic/CenterUrgent CareNo
2261QP2300XClinic/CenterPrimary CareYes

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.