BONAFIDE HEALTHCARE SERVICES LLC (NPI# 1205460474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205460474 |
| Entity Type | Organization |
| Organization Name | BONAFIDE HEALTHCARE SERVICES LLC |
| Practice Address |
8579 Grand Prix Ln Boynton Beach FL 33472-2736 |
| Practice Telephone | 7542459993 |
| Mailing Telephone | 7542459993 |
| Enumeration Date | 2020-02-26 |
| Last Update Date | 2020-06-04 |
| Authorized Official Name | MARIE B SAMSON-JOSEPH (PRESIDENT) |
| Authorized Official Telephone | 7542459993 |
| Authorized Official Credential | APRN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
8579 GRAND PRIX LN |
| City | BOYNTON BEACH |
| State | FL |
| Zip Code | 33472-2736 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194288985 | Boynton Beach Modern Dentistry, Pa | Dentist | 8773 Boynton Beach Blvd., Suite 520, Boynton Beach, FL 33472 | 2019-04-09 |
| 1205310596 | Caridad Center Inc | Voluntary or Charitable | 8645 W Boyton Beach Blvd, Boyton Beach, FL 33472 | 2018-09-21 |
| 1447769740 | Jillian Lepera | Counselor | 8200 S Jog Rd Ste 101, Boynton Beach, FL 33472 | 2017-09-29 |
| 1467988253 | Susel Maria Perez Ojeda | Dentist | 8773 Boynton Beach Blvd Unit 520, Boynton Beach, FL 33472 | 2017-05-11 |
| 1770019887 | Lyn Lewis | Developmental Therapist | 8308 Waterline Dr 105, Boyton Beach, FL 33472 | 2017-05-10 |
| 1821466715 | Advanced Cancer Surgery and Digestive Health LLC | Surgery | 9868 S. State Road 7, Suite 300, Boynton Beach, FL 33472 | 2015-09-09 |
| 1154703163 | Jeanie Moran | Physician Assistant | 9394 Cobblestone Brooke Ct, Boynton Beach, FL 33472 | 2015-06-25 |
| 1679981450 | Mandi Franklin | Nurse Practitioner | 9868 Fl-7 #305, Boynton Beach, FL 33472 | 2014-07-24 |
| 1962825943 | June Ladner, LLC | Homemaker | 8022 Bellafiore Way, Boynton Beach, FL 33472 | 2014-01-28 |
| 1710323910 | Eena Comprehensive Neurology & Sleep Center Inc | Psychiatry & Neurology | 9868 South State Road 7, Boyton Beach, FL 33472 | 2013-05-14 |
| Find all providers in zip 33472 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689200180 | Angelica Everingham | Nurse Practitioner | 3636 Barkis Ave, Boynton Beach, FL 33436-2717 | 2020-03-16 |
| 1730518036 | Dawn Haskins | Nurse Practitioner | 4315 Tuscany Way, Boynton Beach, FL 33435-7816 | 2013-11-06 |
| 1700411659 | Lucia Veronica Silva-brullo | Nurse Practitioner | 8280 S Jog Rd, Boynton Beach, FL 33472-2938 | 2020-03-10 |
| 1932492725 | Debra Karen Kerr | Nurse Practitioner | 2800 S Seacrest Blvd Ste 240, Boynton Beach, FL 33435-7946 | 2011-05-26 |
| 1285804062 | Mobile Medical Industries Inc | Nurse Practitioner | 2500 Quantum Lakes Dr, Suite 108, Boynton Beach, FL 33426-8324 | 2008-03-07 |
| 1356475628 | Susan Beth Leifer | Nurse Practitioner | 10075 Jog Rd, Suite 203, Boynton Beach, FL 33437-3535 | 2007-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649871724 | Brenna Schulman | Nurse Practitioner | 6859 Sw 18th St Ste 200, Boca Raton, FL 33433-7015 | 2020-11-04 |
| 1245831726 | Sydia Spence | Nurse Practitioner | 8001 Nw 66th Ter, Tamarac, FL 33321-7015 | 2020-11-02 |
| 1598365165 | Fernande Simeon | Nurse Practitioner | 6490 Nw 55th St, Coral Springs, FL 33067-2710 | 2020-10-31 |
| 1780284596 | Corrective Spinal Care Inc | Nurse Practitioner | 6965 Piazza Grande Ave Ste 207, Orlando, FL 32835-8780 | 2020-10-30 |
| 1023617420 | John Bertram Garrett Iv | Nurse Practitioner | 5079 Garrett Rd, Malone, FL 32445-3409 | 2020-10-19 |
| 1518565894 | Karen Giselle Reyes | Nurse Practitioner | 4563 Perth Rd, West Palm Beach, FL 33415-2811 | 2020-10-09 |
| 1265039424 | Catherine Dettelbach Lake | Nurse Practitioner | 3411 Shenandoah Dr W, Orange Park, FL 32073-6631 | 2020-10-01 |
| 1417562877 | Victoria Ann Jacobs | Nurse Practitioner | 3605 Lithia Ridge Blvd, Valrico, FL 33596-6482 | 2020-09-12 |
| 1760096135 | Conciergenp | Nurse Practitioner | 1221 S 23rd Ave, Hollywood, FL 33020-5912 | 2020-09-03 |
| 1649881434 | Dr Jose A Rivera LLC | Nurse Practitioner | 110 W Citrus St, Altamonte Springs, FL 32714-2502 | 2020-08-14 |
| Find all providers with the same taxonomy | ||||
| City | BOYNTON BEACH |
| Zip Code | 33472 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.