Healthcare Provider Details

I. General information

NPI: 1073828984
Provider Name (Legal Business Name): PATIENTS FIRST FAMILY PRACTICE AND URGENT CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/16/2010
Last Update Date: 03/22/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

409 S DIXIE HWY
LAKE WORTH FL
33460-4442
US

IV. Provider business mailing address

409 S DIXIE HWY
LAKE WORTH FL
33460-4442
US

V. Phone/Fax

Practice location:
  • Phone: 561-582-5433
  • Fax: 561-585-0074
Mailing address:
  • Phone: 561-582-5433
  • Fax: 561-585-0074

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MRS. JANET W RADFORD
Title or Position: OWNER
Credential: ARNP
Phone: 561-452-8580