Clinical LTC Partners PLLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

CLINICAL LTC PARTNERS PLLC

Practice address

11770 US Highway 1 Ste 102E
Palm Beach Gardens, FL 33408-3052

Phone

(646) 293-1873

NPI assigned

Nov 12, 2019

Organization subpart

No

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

Authorized official

Name

Joseph Bryant

Title

VP of Provider Operations

Phone

(646) 293-1873

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1573516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573516800000",
    "number": "1750926911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11770 US HIGHWAY 1 STE 102E",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334083052",
            "telephone_number": "646-293-1873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11770 US HIGHWAY 1 STE 102E",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334083052",
            "telephone_number": "646-293-1873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAL LTC PARTNERS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-12",
        "last_updated": "2019-11-12",
        "status": "A",
        "authorized_official_last_name": "BRYANT",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "VP OF PROVIDER OPERATIONS",
        "authorized_official_telephone_number": "646-293-1873"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Service Clinic/Center in Palm Beach Gardens, FL
• Providers in Palm Beach Gardens, FL by specialty
• Health Service Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2019; 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.