Healthcare Provider Details

I. General information

NPI: 1477476893
Provider Name (Legal Business Name): AFIC GROUP OF COA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9448 ROAN LN UNIT B
WEST PALM BEACH FL
33403-1085
US

IV. Provider business mailing address

9448 ROAN LN UNIT B
WEST PALM BEACH FL
33403-1085
US

V. Phone/Fax

Practice location:
  • Phone: 579-400-1124
  • Fax:
Mailing address:
  • Phone: 579-400-1124
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. JORDAN BELL
Title or Position: PRESIDENT
Credential:
Phone: 579-400-1124