Healthcare Provider Details

I. General information

NPI: 1144766619
Provider Name (Legal Business Name): SOPHIA GISCOMBE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SOPHIA GISCOMBE ARNP

II. Dates (important events)

Enumeration Date: 01/09/2017
Last Update Date: 08/15/2025
Certification Date: 08/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

840 US HIGHWAY 1 STE 120
NORTH PALM BEACH FL
33408-3858
US

IV. Provider business mailing address

2330 S CONGRESS AVE
WEST PALM BEACH FL
33406-7608
US

V. Phone/Fax

Practice location:
  • Phone: 561-776-7300
  • Fax: 561-776-8727
Mailing address:
  • Phone: 561-432-5849
  • Fax: 561-283-0677

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP9338099
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: