Healthcare Provider Details

I. General information

NPI: 1366200818
Provider Name (Legal Business Name): LUCINDA ADELSON MUSCADIN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/11/2024
Last Update Date: 10/10/2025
Certification Date: 10/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1501 CORPORATE DR STE 100S8A
BOYNTON BEACH FL
33426-6600
US

IV. Provider business mailing address

1501 CORPORATE DR STE 100S8A
BOYNTON BEACH FL
33426-6600
US

V. Phone/Fax

Practice location:
  • Phone: 561-288-2517
  • Fax:
Mailing address:
  • Phone: 561-288-2517
  • Fax: 561-678-4867

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number11031550
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code176B00000X
TaxonomyMidwife
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: