Provider Demographics
NPI:1114437910
Name:MEDICAL ACCESS POINT
Entity Type:Organization
Organization Name:MEDICAL ACCESS POINT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MSN FNP-BC, ARNP
Authorized Official - Prefix:
Authorized Official - First Name:DARNELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:FAVEUR
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:561-396-3357
Mailing Address - Street 1:PO BOX 3144
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33424-3144
Mailing Address - Country:US
Mailing Address - Phone:561-396-3357
Mailing Address - Fax:888-791-6715
Practice Address - Street 1:8088 TORTUGA LN
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33436-1738
Practice Address - Country:US
Practice Address - Phone:561-396-3357
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-05
Last Update Date:2017-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9315714261QH0100X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service