Healthcare Provider Details

I. General information

NPI: 1417890708
Provider Name (Legal Business Name): PATRICIA AUGUSTIN FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/11/2026
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3000 CENTRAL GARDENS CIR
PALM BEACH GARDENS FL
33418-8700
US

IV. Provider business mailing address

714 N 8TH ST
LANTANA FL
33462-1616
US

V. Phone/Fax

Practice location:
  • Phone: 561-303-5784
  • Fax:
Mailing address:
  • Phone: 561-303-5784
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number9498324
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11036501
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: