MEDICARE: COMMITTED PRIMARY CARE 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
1	363LF0000X	Family Nurse Practitioner

General Provider Information

NPI Number	:	1265273882
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMMITTED PRIMARY CARE LLC

Provider Business Mailing Address
First Line	:	6124 OAK BLUFF WAY
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33467-7136
Country	:	US
Telephone Number	:	561-888-2325
Fax Number	:

Provider Business Practice Location Address
First Line	:	6124 OAK BLUFF WAY
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33467-7136
Country	:	US
Telephone Number	:	561-650-4888
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	NOE JOSEPH
Credential	:	NP
Telephone Number	:	561-888-2325

Provider Enumeration Date	:	06/06/2024
Last Update Date	:	02/23/2026

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Directions to “COMMITTED PRIMARY CARE LLC ” Practice Location

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