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NPI Code Detail

MEDICARE: MOBILE NP OF THE PALM BEACHES LLC

MEDICARE: MOBILE NP OF THE PALM BEACHES LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician
2213ES0103XFoot & Ankle Surgery Podiatrist
3261QU0200XUrgent Care Clinic/Center
4207QG0300XGeriatric Medicine (Family Medicine) Physician
5363L00000XNurse Practitioner
6251F00000XHome Infusion Agency
7261QM1300XMulti-Specialty Clinic/Center

General Provider Information

NPI Number : 1245049907
Entity Type Code : Organization
Provider Name (Legal Business Name) : MOBILE NP OF THE PALM BEACHES LLC
Provider Business Mailing Address
First Line : 2054 VISTA PKWY STE 400
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33411-6742
Country : US
Telephone Number : 727-213-3459
Fax Number : 561-209-5157
Provider Business Practice Location Address
First Line : 2054 VISTA PKWY STE 400
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33411-6742
Country : US
Telephone Number : 561-818-6357
Fax Number : 561-209-5157
Authorized Official
Title or Position : CEO
Name : VERONICA LONDONO ARIAS
Credential : APRN
Telephone Number : 727-213-3457
Provider Enumeration Date : 01/06/2025
Last Update Date : 05/02/2026

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Directions to “MOBILE NP OF THE PALM BEACHES LLC ” Practice Location

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