MEDICARE: CLAUDE EDWARD LINCOLN JR.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225200000X	Physical Therapy Assistant	33320	FL

General Provider Information

NPI Number	:	1396622601
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CLAUDE EDWARD LINCOLN JR.

Provider Business Mailing Address
First Line	:	3015 KING PALM WAY
Second Line	:
City	:	RIVIERA BEACH
State	:	FL
Zip	:	33410-1920
Country	:	US
Telephone Number	:	561-584-0590
Fax Number	:

Provider Business Practice Location Address
First Line	:	7100 FAIRWAY DR STE 42
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33418-3778
Country	:	US
Telephone Number	:	561-775-7775
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/19/2025
Last Update Date	:	08/19/2025

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