Healthcare Provider Details

I. General information

NPI: 1437779824
Provider Name (Legal Business Name): PROFICIENT NP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/25/2020
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6154 BANGALOW DR
LAKE WORTH FL
33463-7512
US

IV. Provider business mailing address

6154 BANGALOW DR
LAKE WORTH FL
33463-7512
US

V. Phone/Fax

Practice location:
  • Phone: 954-240-2998
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LC1500X
TaxonomyCommunity Health Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: RICARDO CAMPBELL
Title or Position: OWNER
Credential: APRN
Phone: 954-240-2998