Gardens Family Practice, PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME63002 Issued in FL

Legal business name

GARDENS FAMILY PRACTICE, PA

Practice address

3365 Burns Rd
Stuite 217
Palm Beach Gardens, FL 33410-4326

Phone

(561) 627-7433

Fax

(561) 775-1055

NPI assigned

Aug 10, 2011

Last updated

Aug 31, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Prabhavathi Viralam, MDNPI 1043293210

Title

Provider

Phone

(561) 627-7433

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Prabhavathi Katta Viralam, MD

  • Family Medicine Physician
  • Palm Beach Gardens, FL
  • NPI 1043293210
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1312934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314748800000",
    "number": "1033498837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3365 BURNS RD",
            "address_2": "STUITE 217",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104326",
            "telephone_number": "561-627-7433",
            "fax_number": "561-775-1055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3365 BURNS RD",
            "address_2": "STUITE 217",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104326",
            "telephone_number": "561-627-7433",
            "fax_number": "561-775-1055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDENS FAMILY PRACTICE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-10",
        "last_updated": "2011-08-31",
        "status": "A",
        "authorized_official_last_name": "VIRALAM",
        "authorized_official_first_name": "PRABHAVATHI",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "561-627-7433",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME63002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gardens Counseling Associates
• Gardens Court Medical Investors, LLC (The Gardens Court)
• Gardens Dental Care
• Gardens Drugs Inc (Gardens Drugs)
• Gardens Efl Imaging Center LLC (Gardens Open Imaging)
• Gardens Health & Wellness Inc
• Gardens Id Group LLC
• Gardens Implant and Cosmetic Dentistry PLLC
• Gardens Medical Office, Inc.
• Gardens Neurology PLLC

• Family Medicine Physician in Palm Beach Gardens, FL
• Providers in Palm Beach Gardens, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.