Healthcare Provider Details

I. General information

NPI: 1760316202
Provider Name (Legal Business Name): LERIT LINDBERG
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/10/2026
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5305 GREENWOOD AVE STE 204
WEST PALM BEACH FL
33407-2449
US

IV. Provider business mailing address

6215 LUCERNE ST
JUPITER FL
33458-6613
US

V. Phone/Fax

Practice location:
  • Phone: 561-844-6300
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11047852
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: