Organization
BONAFIDE HEALTHCARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIE B SAMSON-JOSEPH APRN (PRESIDENT)
(754) 245-9993
Entity
Organization
Contact information
Practice address
8579 GRAND PRIX LN, BOYNTON BEACH, FL 33472-2736
(754) 245-9993
Mailing address
8579 GRAND PRIX LN, BOYNTON BEACH, FL 33472-2736
(754) 245-9993
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/26/2020
Last updated
06/04/2020
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