Healthcare Provider Details

I. General information

NPI: 1629969662
Provider Name (Legal Business Name): ALCIN MEDICAL GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/09/2025
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7980 S JOG RD STE 101
LAKE WORTH FL
33467-7901
US

IV. Provider business mailing address

7980 S JOG RD STE 101
LAKE WORTH FL
33467-7901
US

V. Phone/Fax

Practice location:
  • Phone: 561-200-4420
  • Fax: 561-829-2286
Mailing address:
  • Phone: 561-200-4420
  • Fax: 561-829-2286

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: ANEILLA ALCIN
Title or Position: CLINIC DIRECTOR
Credential: NP
Phone: 561-200-4420