Healthcare Provider Details

I. General information

NPI: 1205664612
Provider Name (Legal Business Name): PATIENTS PARTNER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/25/2024
Last Update Date: 07/25/2024
Certification Date: 07/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

844 FORSYTH ST
BOCA RATON FL
33487-3206
US

IV. Provider business mailing address

844 FORSYTH ST
BOCA RATON FL
33487-3206
US

V. Phone/Fax

Practice location:
  • Phone: 561-843-5510
  • Fax:
Mailing address:
  • Phone: 561-843-5510
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LC0200X
TaxonomyCritical Care Medicine Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: BETSY CLARK
Title or Position: ADMINISTRATIVE ASSISTANT
Credential:
Phone: 813-943-5907