Healthcare Provider Details

I. General information

NPI: 1740076207
Provider Name (Legal Business Name): INFINITELY BABY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/18/2025
Last Update Date: 04/18/2025
Certification Date: 04/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9846 DAISY AVE
PALM BEACH GARDENS FL
33410-4719
US

IV. Provider business mailing address

9846 DAISY AVE
PALM BEACH GARDENS FL
33410-4719
US

V. Phone/Fax

Practice location:
  • Phone: 561-543-9479
  • Fax:
Mailing address:
  • Phone: 561-543-9479
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QC1500X
TaxonomyCommunity Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: KATHERINE JISEL MAROUN
Title or Position: OWNER
Credential:
Phone: 561-543-9479