TRUDELLDOCTORMD LLC NPI 1891433249

NPI Information

  • NPI: 1891433249
  • Provider Name: TRUDELLDOCTORMD, LLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Address: 6080 BOYNTON BEACH BLVD STE 230
    BOYNTON BEACH, FL
    ZIP 33437
  • Phone: (561) 807-7780

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NPI Details

TRUDELLDOCTORMD, LLC is a family medicine in Boynton Beach, FL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. TRUDELLDOCTORMD, LLC NPI is 1891433249. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6080 BOYNTON BEACH BLVD STE 230
BOYNTON BEACH, FL
ZIP 33437-588
Phone: (561) 807-7780
Fax: (866) 950-0144

The provider's authorized official is Marcia Rivera .
The authorized official title is Practice Admin and has the following contact phone number (561) 254-8134.

The enumeration date for this NPI number is 5/25/2022 and was last updated on 5/25/2022.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineYes

What is NPI?

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This page was last updated on: 11/21/2025

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