Healthcare Provider Details
I. General information
NPI: 1609736727
Provider Name (Legal Business Name): MNP MEDICAL GROUP
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/12/2025
Last Update Date: 11/19/2025
Certification Date: 11/19/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
521 NORTHLAKE BLVD STE B
NORTH PALM BEACH FL
33408-5418
US
IV. Provider business mailing address
7601 N FEDERAL HWY STE 245A
BOCA RATON FL
33487-1672
US
V. Phone/Fax
- Phone: 561-704-6781
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QM1300X |
| Taxonomy | Multi-Specialty Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ANTHONY
CAMAEREI
Title or Position: COO
Credential: MBA
Phone: 570-242-1768