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Organization
INTELICARE
Active
Organization
INTELICARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IMTIAZ MOHAMMED NP (OWNER)
(561) 319-6696
Entity
Organization
Contact information
Practice address
5313 COLBRIGHT RD, LAKE WORTH, FL 33467-5642
(561) 319-6696
Mailing address
5313 COLBRIGHT RD, LAKE WORTH, FL 33467-5642
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/25/2024
Last updated
03/25/2024
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