Healthcare Provider Details

I. General information

NPI: 1699564856
Provider Name (Legal Business Name): LVG HEALTH GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/05/2025
Last Update Date: 09/11/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2054 VISTA PARK WAY 400
WEST PALM BEACH FL
33411
US

IV. Provider business mailing address

2054 VISTA PARK WAY 400
WEST PALM BEACH FL
33411
US

V. Phone/Fax

Practice location:
  • Phone: 888-508-6036
  • Fax: 689-304-2180
Mailing address:
  • Phone: 888-508-6036
  • Fax: 689-304-2180

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. FARAH BAUDIN
Title or Position: OFFICE CONSULTANT
Credential:
Phone: 786-277-1621