Healthcare Provider Details

I. General information

NPI: 1366207250
Provider Name (Legal Business Name): TIME IN RANGE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/19/2024
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6201 N FEDERAL HWY
BOCA RATON FL
33487-3200
US

IV. Provider business mailing address

6201 N FEDERAL HWY
BOCA RATON FL
33487-3200
US

V. Phone/Fax

Practice location:
  • Phone: 954-536-5353
  • Fax: 949-695-4633
Mailing address:
  • Phone: 954-536-5353
  • Fax: 949-695-4633

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MS. LAURI DEANE
Title or Position: CEO
Credential: APRN, FNP-C
Phone: 954-536-5353