Provider Demographics
NPI:1104270149
Name:HEALTHY PARTNERS PRIMARY CARE LLC
Entity type:Organization
Organization Name:HEALTHY PARTNERS PRIMARY CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:CAMERLINK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-745-3877
Mailing Address - Street 1:1090 JUPITER PARK DR
Mailing Address - Street 2:SUITE 101
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458-8939
Mailing Address - Country:US
Mailing Address - Phone:561-745-3877
Mailing Address - Fax:561-745-3866
Practice Address - Street 1:1090 JUPITER PARK DR STE 101
Practice Address - Street 2:
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-8939
Practice Address - Country:US
Practice Address - Phone:561-745-3877
Practice Address - Fax:561-745-3866
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-15
Last Update Date:2019-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME48584207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty