Provider Demographics
NPI:1760006597
Name:INFINITE INTEGRITY HEALTH CENTER LLC
Entity Type:Organization
Organization Name:INFINITE INTEGRITY HEALTH CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:DR
Authorized Official - First Name:JEDLYN
Authorized Official - Middle Name:
Authorized Official - Last Name:PIERRILUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-208-1090
Mailing Address - Street 1:PO BOX 19442
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33416-9442
Mailing Address - Country:US
Mailing Address - Phone:561-208-1090
Mailing Address - Fax:
Practice Address - Street 1:1301 N CONGRESS AVE STE 420
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33426-3362
Practice Address - Country:US
Practice Address - Phone:561-208-1090
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-08
Last Update Date:2023-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty