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NPI Code Detail

MEDICARE: MSPB II LLC

MEDICARE: MSPB II 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
1207Q00000XFamily Medicine Physician
2207RC0000XCardiovascular Disease Physician
3207RG0100XGastroenterology Physician
4207RH0003XHematology & Oncology Physician
5207RI0011XInterventional Cardiology Physician
6207U00000XNuclear Medicine Physician
7207ZP0105XClinical Pathology/Laboratory Medicine Physician
82084N0400XNeurology Physician
92085R0202XDiagnostic Radiology Physician
10207R00000XInternal Medicine Physician

General Provider Information

NPI Number : 1912852211
Entity Type Code : Organization
Provider Name (Legal Business Name) : MSPB II LLC
Provider Business Mailing Address
First Line : 7593 W BOYNTON BEACH BLVD STE 220
Second Line :
City : BOYNTON BEACH
State : FL
Zip : 33437-6162
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7593 W BOYNTON BEACH BLVD STE 220
Second Line :
City : BOYNTON BEACH
State : FL
Zip : 33437-6162
Country : US
Telephone Number : 561-649-7000
Fax Number :
Authorized Official
Title or Position : CEO
Name : DANIELLE WEBB
Credential :
Telephone Number : 561-649-7000
Provider Enumeration Date : 03/02/2026
Last Update Date : 03/02/2026

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Directions to “MSPB II LLC ” Practice Location

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