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NPI Code Detail

MEDICARE: PROFICIENTNP LLC

MEDICARE: PROFICIENTNP 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
1363L00000XNurse Practitioner
2363LC1500XCommunity Health Nurse Practitioner

General Provider Information

NPI Number : 1437779824
Entity Type Code : Organization
Provider Name (Legal Business Name) : PROFICIENTNP 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 : 04/25/2020

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Directions to “PROFICIENTNP LLC ” Practice Location

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