=====================================================
General NPI Number Information
=====================================================
NPI Number | 1790623882
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CURE PATH WELLNESS LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/23/2026
-----------------------------------------------------
Last Update Date | 03/23/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 10111 FOREST HILL BLVD RM 320
-----------------------------------------------------
City | WELLINGTON
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33414-6142
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 561-698-3976
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 6818 ALISO AVE
-----------------------------------------------------
City | WEST PALM BEACH
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33413-1036
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 561-698-3976
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | NURSE PRACTITIONER
-----------------------------------------------------
Name | ADELINE NEZIFORT
-----------------------------------------------------
Credential | NP
-----------------------------------------------------
Telephone | 561-698-3976
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QP2300X
-----------------------------------------------------
Taxonomy Name | Primary Care Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------