Provider Demographics
NPI:1619838059
Name:ANNABEL'S CLINIC LLC
Entity type:Organization
Organization Name:ANNABEL'S CLINIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:MCCRACKIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-282-2021
Mailing Address - Street 1:500 S AUSTRALIAN AVE STE 1010
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33401-6220
Mailing Address - Country:US
Mailing Address - Phone:561-282-2021
Mailing Address - Fax:561-285-3885
Practice Address - Street 1:500 S AUSTRALIAN AVE STE 1010
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33401-6220
Practice Address - Country:US
Practice Address - Phone:561-282-2021
Practice Address - Fax:561-285-3885
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-24
Last Update Date:2025-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty