OBSIDIAN HEALTHCARE LLC
NPI 1447958699
Internal Medicine in Boynton Beach, FL

Q: What is Obsidian Healthcare LLC's NPI number?

The NPI number for Obsidian Healthcare LLC is 1447958699. It was assigned to this organization in the NPPES registry on February 17, 2023.

Q: What is Obsidian Healthcare LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since February 17, 2023CLIA 10D2290369 · Waiver

3379 W WOOLBRIGHT RD, BOYNTON BEACH, FL 33436(561) 449-0066(561) 834-2511 Get Directions Write a Review

NPPES record last updated: February 17, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Obsidian Healthcare Llc NPPES

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

OBSIDIAN HEALTHCARE LLC (NPI 1447958699) is a healthcare organization registered as an internal medicine in Boynton Beach, Florida and active in the NPI registry since February 2023. The organization holds a CLIA Waiver certificate valid through September 24, 2027 and lists Jude Acloque, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1447958699

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameOBSIDIAN HEALTHCARE LLC

Location Address3379 W WOOLBRIGHT RDBoynton Beach, FL 33436-7245

Mailing Address3379 W Woolbright RdBoynton Beach, FL 33436-7245 · (561) 449-0066 · Fax (561) 834-2511

Phone(561) 449-0066

Fax(561) 834-2511

Organization SubpartNo

Authorized OfficialJude AcloqueAuthorized Official · (561) 443-0066

Enumeration DateFebruary 17, 2023

NPPES CertifiedFebruary 17, 2023

✔ NPI 1447958699 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

3379 W WOOLBRIGHT RD, Boynton Beach, FL 33436

Open in Google Maps ↗

Other Identifiers 1

OtherME133297FL · License

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2290369

Obsidian Healthcare · Boynton Beach, FL

Active · expires Sep 24, 2027

CLIA Number10D2290369

Laboratory TypePhysician Office

Certificate Effective DateSeptember 25, 2025

Certificate Expiration DateSeptember 24, 2027

Laboratory DirectorJude Acloque

Laboratory Phone(561) 499-0066

Laboratory LocationObsidian Healthcare3379 W Woolbright Rd, Boynton Beach, FL 33436

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

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

ROBERT HAWK DC

Chiropractor