Intelicare

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

INTELICARE

Practice address

5313 Colbright Rd
Lake Worth, FL 33467-5642

Phone

(561) 319-6696

NPI assigned

Mar 25, 2024

Organization subpart

No

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

Authorized official

Name

Imtiaz Mohammed, NP

Title

Owner

Phone

(561) 319-6696

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1711324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711324800000",
    "number": "1891545745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5313 COLBRIGHT RD",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334675642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5313 COLBRIGHT RD",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334675642",
            "telephone_number": "561-319-6696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTELICARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-25",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A",
        "authorized_official_last_name": "MOHAMMED",
        "authorized_official_first_name": "IMTIAZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-319-6696",
        "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": []
}

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• Family Nurse Practitioner in Lake Worth, FL
• Providers in Lake Worth, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; 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.