Healthcare Provider Details

I. General information

NPI: 1053105536
Provider Name (Legal Business Name): ATLANTIC HEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/08/2025
Last Update Date: 08/12/2025
Certification Date: 08/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5405 OKEECHOBEE BLVD STE 306
WEST PALM BEACH FL
33417-4554
US

IV. Provider business mailing address

5405 OKEECHOBEE BLVD STE 306
WEST PALM BEACH FL
33417-4554
US

V. Phone/Fax

Practice location:
  • Phone: 561-855-2816
  • Fax: 561-408-3846
Mailing address:
  • Phone: 561-855-2816
  • Fax: 561-406-3846

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QP3300X
TaxonomyPain Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: HALEY NEELEY
Title or Position: PRESIDENT
Credential:
Phone: 561-855-2816