Healthcare Provider Details

I. General information

NPI: 1669618914
Provider Name (Legal Business Name): MINH DAI LAM ARNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/16/2008
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 CONGRESS PARK DR STE 100
DELRAY BEACH FL
33445-4618
US

IV. Provider business mailing address

1515 N FLAGLER DR STE 101
WEST PALM BEACH FL
33401-3429
US

V. Phone/Fax

Practice location:
  • Phone: 561-279-2665
  • Fax: 561-439-4212
Mailing address:
  • Phone: 561-279-2665
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberARNP9177293
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberARNP9177293
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: