MEDICARE: PROFICIENT NP LLC

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	363LC1500X	Community Health Nurse Practitioner
2	363LF0000X	Family Nurse Practitioner

General Provider Information

NPI Number	:	1437779824
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PROFICIENT NP LLC

Provider Business Mailing Address
First Line	:	6154 BANGALOW DR
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33463-7512
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6154 BANGALOW DR
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33463-7512
Country	:	US
Telephone Number	:	954-240-2998
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	RICARDO CAMPBELL
Credential	:	APRN
Telephone Number	:	954-240-2998

Provider Enumeration Date	:	04/25/2020
Last Update Date	:	05/12/2026

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