Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP2300X | Nurse Practitioner - Primary Care | APRN11010930 | FL |
NPI | 1053902841 |
---|---|
Provider Name | Swetaben Brahmbhatt |
First Address | West Palm Beach, FL 33407-6564 |
Second Address | West Palm Beach, FL 33407-6564 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/02/2021 |
Last Update Date | 03/02/2021 |