Organization Active NPI

Juana Bordeleau

  • Primary Care Clinic/Center
  • Palm Springs, FL
National Provider Identifier
1134708340
Registry record updated Apr 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
JUANA BORDELEAU
Practice address
3472 Forest Hill Blvd Ste 2C
Palm Springs, FL 33406-5864
Phone
(561) 229-6189
NPI assigned
Apr 5, 2021
Last updated
Apr 5, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Juana Bordeleau, APRNNPI 1205005923
Title
Owner
Phone
(561) 229-6189

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

3472 Forest Hill Blvd Ste 2C
Palm Springs, FL 33406-5864

Mailing address

4537 Sandy Cove Ter
Lake Worth, FL 33467-1112

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1617580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617580800000",
    "number": "1134708340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4537 SANDY COVE TER",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334671112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3472 FOREST HILL BLVD STE 2C",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "334065864",
            "telephone_number": "561-229-6189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUANA BORDELEAU",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-05",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A",
        "authorized_official_last_name": "BORDELEAU",
        "authorized_official_first_name": "JUANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-229-6189",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.