Active NPI
Grace Mobile Healthcare Solutions LLC
- Family Nurse Practitioner
- Boca Raton, FL
National Provider Identifier
1750156287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- GRACE MOBILE HEALTHCARE SOLUTIONS LLC
- Practice address
- 9825 Marina Blvd Ste 100
Boca Raton, FL 33428-6628 - Phone
- (848) 256-0360
- NPI assigned
- Nov 15, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Mirdine Minviel, NP
- Title
- Owner
- Phone
- (954) 822-9322
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
9825 Marina Blvd Ste 100
Boca Raton, FL 33428-6628
Mailing address
4787 NW 72ND PL
Coconut Creek, FL 33073-2741
Phone (954) 822-9322
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1700006400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1700006400000",
"number": "1750156287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4787 NW 72ND PL",
"city": "COCONUT CREEK",
"state": "FL",
"postal_code": "330732741",
"telephone_number": "954-822-9322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9825 MARINA BLVD STE 100",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334286628",
"telephone_number": "848-256-0360"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GRACE MOBILE HEALTHCARE SOLUTIONS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-11-15",
"last_updated": "2023-11-15",
"certification_date": "2023-11-15",
"status": "A",
"authorized_official_last_name": "MINVIEL",
"authorized_official_first_name": "MIRDINE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "954-822-9322",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.