Healthcare Provider Details

I. General information

NPI: 1033711007
Provider Name (Legal Business Name): BIND HEALTHCARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/13/2020
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13005 SOUTHERN BLVD STE 221
LOXAHATCHEE FL
33470-9272
US

IV. Provider business mailing address

13005 SOUTHERN BLVD STE 221
LOXAHATCHEE FL
33470-9272
US

V. Phone/Fax

Practice location:
  • Phone: 561-517-8678
  • Fax:
Mailing address:
  • Phone: 561-517-8678
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: ITAMAR WALL
Title or Position: CEO
Credential: APRN
Phone: 561-517-8678