Healthcare Provider Details

I. General information

NPI: 1285582155
Provider Name (Legal Business Name): ADVANCE PRACTICE CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/17/2026
Last Update Date: 03/17/2026
Certification Date: 03/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5029 FOREST DALE DR
LAKE WORTH FL
33449-4626
US

IV. Provider business mailing address

117 SEMINOLE LAKES DR
ROYAL PALM BEACH FL
33411-4211
US

V. Phone/Fax

Practice location:
  • Phone: 561-437-6309
  • Fax:
Mailing address:
  • Phone: 561-437-6309
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: MS. SABRINA LYSSA ELIEN
Title or Position: APRN
Credential:
Phone: 561-437-6309