Organization
AVANTI HOME HEALTH OF PALM BEACH CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK CONKLIN (OWNER, CEO)
(561) 733-1390
Entity
Organization
Contact information
Practice address
1015 GATEWAY BLVD STE 502, BOYNTON BEACH, FL 33426-8347
(561) 733-1390
(561) 739-9456
Mailing address
1015 GATEWAY BLVD STE 502, BOYNTON BEACH, FL 33426-8347
(561) 733-1390
(561) 739-9456
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
299993913
FL
251E00000X
Home Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113570300
—
FL
Enumeration date
05/11/2011
Last updated
12/01/2022
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