PATIENT PROVIDER NETWORK LLC
NPI 1285393694
Clinic/Center - Multi-Specialty in Boca Raton, FL

Active since December 13, 2021
1700 N DIXIE HWY STE 140, BOCA RATON, FL 33432(727) 415-2308 Get Directions Write a Review

NPPES record last updated: April 24, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 24, 2022, Dec 13, 2021 (2 updates tracked since 2021).

About Patient Provider Network Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PATIENT PROVIDER NETWORK LLC (NPI 1285393694) is a healthcare organization registered as a multi-specialty in Boca Raton, Florida and active in the NPI registry since December 2021. The organization lists Michael Bagby, Ambr, as its authorized official.

NPPES Registry Identity

NPI1285393694
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NamePATIENT PROVIDER NETWORK LLC
Location Address1700 N DIXIE HWY STE 140Boca Raton, FL 33432-1808
Mailing Address5260 78th Ave N Unit 1562Pinellas Park, FL 33780-8062 · (727) 415-2308
Organization SubpartNo
Authorized OfficialMichael BagbyAmbr · (727) 415-2308
Enumeration DateDecember 13, 2021
Last NPPES UpdateApril 24, 20222 updates tracked since enumeration
NPPES CertifiedApril 24, 2022
NPI 1285393694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 15

Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedNutritionist · Nutrition, EducationTaxonomy 133NN1002X
Also ListedGenetic Counselor, MSTaxonomy 170300000X
Also ListedGeneral PracticeTaxonomy 208D00000X
Also ListedCase ManagementTaxonomy 251B00000X
Also ListedHome HealthTaxonomy 251E00000X
Also ListedNursing CareTaxonomy 251J00000X
Also ListedClinic/Center · GeneticsTaxonomy 261QG0250X
Also ListedClinic/Center · Health ServiceTaxonomy 261QH0100X
Also ListedClinic/Center · Physical TherapyTaxonomy 261QP2000X
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
Also ListedClinic/Center · Recovery CareTaxonomy 261QR0800X
Also ListedClinic/Center · VATaxonomy 261QV0200X
Also ListedPharmacy · Compounding PharmacyTaxonomy 3336C0004X
Also ListedProsthetic/Orthotic SupplierTaxonomy 335E00000X
1700 N DIXIE HWY STE 140, Boca Raton, FL 33432

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Durable Medical Equipment & Medical Supplies
1700 N DIXIE HWY STE 140
BOCA RATON, FL 33432
Case Management
1700 N DIXIE HWY STE 140
BOCA RATON, FL 33432

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Patient Provider Network LLC's NPI number?

The NPI number for Patient Provider Network LLC is 1285393694. It was assigned to this organization in the NPPES registry on December 13, 2021.

Where is Patient Provider Network LLC located?

Patient Provider Network LLC is located at 1700 N Dixie Hwy Ste 140, Boca Raton, FL 33432. The listed phone number is (727) 415-2308.

What is Patient Provider Network LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for Patient Provider Network LLC was last updated on April 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.