MEDICARE: THE MEDICAL DETECTIVE, 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	171400000X	Health & Wellness Coach

General Provider Information

NPI Number	:	1558233015
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE MEDICAL DETECTIVE, LLC

Provider Business Mailing Address
First Line	:	4005 FARADAY WAY
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33418-6058
Country	:	US
Telephone Number	:	610-389-1545
Fax Number	:

Provider Business Practice Location Address
First Line	:	4005 FARADAY WAY
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33418-6058
Country	:	US
Telephone Number	:	610-389-1545
Fax Number	:

Authorized Official
Title or Position	:	INTEGRATIVE HEALTH PRACTITIONER
Name	:	MRS. ERICA LANDES
Credential	:
Telephone Number	:	610-389-1545

Provider Enumeration Date	:	09/23/2025
Last Update Date	:	09/23/2025

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Directions to “THE MEDICAL DETECTIVE, LLC ” Practice Location

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