# BONAFIDE HEALTHCARE SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205460474
- **Authorized official:** MARIE B SAMSON-JOSEPH APRN (PRESIDENT)
- **Authorized official phone:** (754) 245-9993

## Contact information

- **Practice address:** 8579 GRAND PRIX LN, BOYNTON BEACH, FL 33472-2736
- **Practice address phone:** (754) 245-9993
- **Mailing address:** 8579 GRAND PRIX LN, BOYNTON BEACH, FL 33472-2736
- **Mailing address phone:** (754) 245-9993

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 02/26/2020
- **Last updated:** 06/04/2020