Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Patient Provider Network LLC

Organization Nutrition Education Nutritionist · NPI 1285393694

Patient Provider Network LLC is a Nutrition Education Nutritionist in Boca Raton, Florida. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
15
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1700 N Dixie Hwy Ste 140
Boca Raton, FL 33432-1808
Phone: (727) 415-2308
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Multi-Specialty Clinic/Center (primary) Taxonomy 261QM1300X
Nutrition Education Nutritionist Taxonomy 133NN1002X
Genetic Counselor (M.S.) Taxonomy 170300000X
General Practice Physician Taxonomy 208D00000X
Case Management Agency Taxonomy 251B00000X
Home Health Agency Taxonomy 251E00000X
Nursing Care Agency Taxonomy 251J00000X
Genetics Clinic/Center Taxonomy 261QG0250X
Health Service Clinic/Center Taxonomy 261QH0100X
Physical Therapy Clinic/Center Taxonomy 261QP2000X
Primary Care Clinic/Center Taxonomy 261QP2300X
Recovery Care Clinic/Center Taxonomy 261QR0800X
VA Clinic/Center Taxonomy 261QV0200X
Compounding Pharmacy Taxonomy 3336C0004X
Prosthetic/Orthotic Supplier Taxonomy 335E00000X

Record details

NPI number1285393694
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Bagby — Ambr · (727) 415-2308
NPI enumeratedDecember 13, 2021
Last updated in NPPESApril 24, 2022
Certification dateApril 24, 2022
Mailing address5260 78th Ave N Unit 1562, Pinellas Park, FL 33780-8062

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