# CHANGES FAMILY PRACTICE CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** NA
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316320591
- **Authorized official:** ANGELA D ENGRAM ARNP (PRESIDENT)
- **Authorized official phone:** (561) 899-9140

## Contact information

- **Practice address:** 31 W 20TH ST, RIVIERA BEACH, FL 33404-6155
- **Practice address phone:** (561) 899-9140
- **Practice address fax:** (561) 331-2715
- **Mailing address:** 1531 W 12TH ST, RIVIERA BEACH, FL 33404-6512
- **Mailing address phone:** (561) 899-9140
- **Mailing address fax:** (561) 331-2715

## Taxonomy

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

## Other

- **Enumeration date:** 07/07/2015
- **Last updated:** 07/07/2015