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PROSPERITY FAMILY MEDICAL GROUP NPI 1932883774


NPI Information

NPI: 1932883774
Provider Name: PROSPERITY FAMILY MEDICAL GROUP
Classification: Family Medicine - 207QA0505X
Entity Type: Organization

Specialization: Adult Medicine

CLIA Number: 10D2301227

Address:
11380 PROSPERITY FARMS RD STE 215
PALM BEACH GARDENS, FL
ZIP 33410
Phone: (561) 794-0456
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PROSPERITY FAMILY MEDICAL GROUP is an adult medicine family medicine in Palm Beach Gardens, FL. The provider is the National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code. PROSPERITY FAMILY MEDICAL GROUP NPI is 1932883774. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

11380 PROSPERITY FARMS RD STE 215
PALM BEACH GARDENS, FL
ZIP 33410-465
Phone: (561) 794-0456
Fax: (561) 794-0457

The provider's authorized official is Hector Naranjo Lopez .
The authorized official title is President and has the following contact phone number (786) 597-3223.

The CLIA number assigned to this NPI record is 10D2301227 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/12/2023 and was last updated on 6/12/2023.


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
1207QA0505XFamily MedicineAdult MedicineYes

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: 5/5/2024

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