Active NPI
Florida Medical Professionals LLC
- Hospitalist Physician
- West Palm Beach, FL
National Provider Identifier
1013404706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- Legal business name
- FLORIDA MEDICAL PROFESSIONALS LLC
- Practice address
- St. Mary'S Medical Center 901 45TH Street
West Palm Beach, FL 33407 - Phone
- (561) 601-7979
- Fax
- (561) 855-6172
- NPI assigned
- Apr 18, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Tariq Rahim
- Title
- Manager
- Phone
- (954) 686-8426
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | Primary |
Addresses
Primary practice location
St. Mary'S Medical Center 901 45TH Street
West Palm Beach, FL 33407
Mailing address
PO Box 132
Covington, GA 30015-0132
Phone (954) 686-8426
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- West Palm Beach, FL
- NPI 1346389541
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524009600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1717372800000",
"number": "1013404706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 132",
"city": "COVINGTON",
"state": "GA",
"postal_code": "300150132",
"telephone_number": "954-686-8426",
"fax_number": "954-245-0458"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ST. MARY'S MEDICAL CENTER 901 45TH STREET",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "33407",
"telephone_number": "561-601-7979",
"fax_number": "561-855-6172"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FLORIDA MEDICAL PROFESSIONALS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-04-18",
"last_updated": "2024-06-03",
"certification_date": "2024-06-03",
"status": "A",
"authorized_official_last_name": "RAHIM",
"authorized_official_first_name": "TARIQ",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "954-686-8426",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Hospitalist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.