=====================================================
General NPI Number Information
=====================================================
NPI Number | 1801757745
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | TRUE SIGNATURE HEALTH
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/20/2025
-----------------------------------------------------
Last Update Date | 11/20/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 580 VILLAGE BLVD # 240
-----------------------------------------------------
City | WEST PALM BEACH
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33409-1904
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 561-247-7991
-----------------------------------------------------
Fax | 561-247-7991
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 580 VILLAGE BLVD # 240
-----------------------------------------------------
City | WEST PALM BEACH
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33409-1904
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 561-247-7991
-----------------------------------------------------
Fax | 561-247-7991
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | APRN
-----------------------------------------------------
Name | BRIANNE GUPTA
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 561-371-5103
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QP2300X
-----------------------------------------------------
Taxonomy Name | Primary Care Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------