Organization · Type 2 NPI
Prosperity Family Medical Group Corp
Adult Medicine Physician · Palm Beach Gardens, FL
NPI number
1932883774
Active
Practice location
11380 Prosperity Farms Rd Ste 215
Palm Beach Gardens, FL 33410-3465
Fax (561) 794-0457
Mailing address
225 Sonoma Isles Cir
Jupiter, FL 33478-5494
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Medicine Physician Primary | 207QA0505X | None listed |
Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.
Another provider at this address
About NPI 1932883774
Prosperity Family Medical Group Corp's National Provider Identifier is 1932883774, issued on Jun 12, 2023. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Palm Beach Gardens, FL. The record was last updated on Aug 20, 2026.