Bonafide Healthcare Services LLC
NPI 1205460474ActiveOrganization· Nurse Practitioner, Primary Care· Boynton Beach, FL
Nurse Practitioner, Primary Care in Boynton Beach, Florida, registered in NPPES in February 2020. The authorized official on file is Marie B. Samson-Joseph, APRN, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1205460474 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 26, 2020 |
| Last updated in NPPES | Jun 4, 2020 |
| Certified by provider | Jun 4, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Primary Care Primary | 363LP2300X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (FL) |
|---|
Other Nurse Practitioner, Primary Care providers in Boynton Beach
- 1770466765
- 1194411983
- 1285804062
- 1528019247
- 1801542170
- 1598351231
- 1689200180
- 1538808951
- 1730518036
- 1437065646
- 1073022380
- 1982030276