Organization · Type 2 NPI

Bethel Medical Group

Nurse Practitioner · Lake Worth, FL

NPI number 1053027508 Active

Practice location

6045 Hagen Ranch Rd Ste 4
Lake Worth, FL 33467-7251

Call (561) 433-9331 Map

Fax (561) 433-8411

Other practice locations

  • 6045 Hagen Ranch Rd Ste 4, Lake Worth, FL 33467-7251 · (561) 619-9961

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician 207R00000XNone listed
Nurse Practitioner Primary 363L00000XNone listed
Family Nurse Practitioner 363LF0000XNone listed

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1053027508

Bethel Medical Group's National Provider Identifier is 1053027508, issued on Jan 27, 2023. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Lake Worth, FL. The record was last updated on Dec 1, 2025.