LABAN BETTRIDGE


Address: 13590 S Jog Rd, Delray Beach, FL 33446-3807
Phone: 5616374200

LABAN BETTRIDGE (NPI# 1891235180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1891235180
Entity Type Individual
Full Name LABAN BETTRIDGE
Practice Address 13590 S Jog Rd
Delray Beach
FL 33446-3807
Mailing Address 11764 Sw 1st St
Coral Springs
FL 33071-8062
Practice Telephone 5616374200
Mailing Telephone 9545549501
Enumeration Date 2017-03-06
Last Update Date 2017-03-06
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers
N 363AM0700X Physician Assistant
Specialization: Medical
Physician Assistants & Advanced Practice Nursing Providers
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 13590 S JOG RD
City DELRAY BEACH
State FL
Zip Code 33446-3807

Providers in the same location

NPI Name Taxonomy Address Enumeration
1104882240 Ronald L Cohen Urology 13590 S Jog Rd, Ste 2, Delray Beach, FL 33446-3807 2006-04-26

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NPI Name Taxonomy Address Enumeration
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1649744632 Brush Delray, Pllc Clinic/Center 8975 Atlantic Ave, Delray Beach, FL 33446 2019-01-14
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1851847834 Senior Living Memory Health, Inc. Psychologist 7091 W Atlantic Avenue, Mtc At Weisman Center, Delray Beach, FL 33446 2016-08-30
1104372432 Tdc Delray LLC Clinic/Center 7901 Atlantic Ave, Suite 102, Delray Beach, FL 33446 2016-08-28
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1063039576 Joshua Bras Prewitt Physician Assistant 4800 Linton Blvd Ste 201, Delray Beach, FL 33445-6584 2020-06-30
1356984686 Zane K Jude Physician Assistant 1775 Linton Lake Dr, Delray Beach, FL 33445-6927 2019-10-18
1801335187 Caitlin Spohnholtz Physician Assistant 5326 Garfield Rd, Delray Beach, FL 33484-4238 2017-02-20
1013456664 John Francisco Martinez Jimenez Physician Assistant 935 Kokomo Key Ln, Delray Beach, FL 33483-6031 2017-02-15
1427430354 Hannah Ilene Cardarelli Physician Assistant 14555 Springside Ln, Delray Beach, FL 33484 2015-06-27
1871988717 Surgical First, Pllc Physician Assistant 14401 S Military Trl Apt C105, Delray Beach, FL 33484-3760 2015-03-30
1306916572 Wilberto Olivera Physician Assistant 909 Se 5th Ave, Suite 201, Delray Beach, FL 33483-5172 2006-11-08
1740258714 Southeast Florida Physician Assistant Assoc. Inc Physician Assistant 6136 Kings Gate Cir, Delray Beach, FL 33484-2456 2006-03-08
1386269132 Scrub In Surgical Assistants LLC. Physician Assistant 935 Kokomo Key Ln, Delray Beach, FL 33483-6031 2020-06-08
1497253819 Danielle Taylor Zaruches Physician Assistant 4205 W Atlantic Ave Ste 201, Delray Beach, FL 33445-3901 2018-01-31
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Competitor

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City DELRAY BEACH
Zip Code 33446

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Dataset Information

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.

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