Healthcare Provider Details

I. General information

NPI: 1699137778
Provider Name (Legal Business Name): INSPIRE PROFESSIONAL SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/28/2016
Last Update Date: 02/12/2021
Certification Date: 02/12/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

909 N DIXIE HWY
WEST PALM BEACH FL
33401-3329
US

IV. Provider business mailing address

909 N DIXIE HWY
WEST PALM BEACH FL
33401-3329
US

V. Phone/Fax

Practice location:
  • Phone: 561-899-6088
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084A0401X
TaxonomyAddiction Medicine (Psychiatry & Neurology) Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DONNA WEINBERGER
Title or Position: CEO
Credential:
Phone: 561-899-6088