NPIMap

Organization Active NPI

Medical Specialists of the Palm Beaches Inc

  • Cardiovascular Disease Physician
  • Loxahatchee, FL
National Provider Identifier
1033945167
Registry record updated Sep 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
MEDICAL SPECIALISTS OF THE PALM BEACHES INC
Practice address
12955 Palms West Dr Ste 100
Loxahatchee, FL 33470-9212
Phone
(561) 967-5033
Fax
(561) 967-5424
NPI assigned
Sep 13, 2024
Organization subpart
Yes
Parent organization
MEDICAL SPECIALISTS OF THE PALM BEACHES INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 13, 2024

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

Authorized official

Name
Casey Waters
Title
Ceo
Phone
(561) 649-7000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

12955 Palms West Dr Ste 100
Loxahatchee, FL 33470-9212

Mailing address

7593 W Boynton Beach Blvd Ste 220
Boynton Beach, FL 33437-6162
Phone (561) 649-7000

Other names 1

  • MSPB Cardiology Loxahatchee Other name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2303381Medical Specialists of the Palm Beaches12955 Palms West Drive Building 8 Suite 100, Loxahatchee, FL 33470Certificate of waiverApr 23, 2028

National Provider Directory

National Provider Directory
Tax ID family
Med Spec of the Palm BC9 organizations share this tax ID, including this one
Part of
Med Spec of the Palm BC

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1726185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726185600000",
    "number": "1033945167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7593 W BOYNTON BEACH BLVD STE 220",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334376162",
            "telephone_number": "561-649-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12955 PALMS WEST DR STE 100",
            "city": "LOXAHATCHEE",
            "state": "FL",
            "postal_code": "334709212",
            "telephone_number": "561-967-5033",
            "fax_number": "561-967-5424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL SPECIALISTS OF THE PALM BEACHES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDICAL SPECIALISTS OF THE PALM BEACHES INC",
        "enumeration_date": "2024-09-13",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A",
        "authorized_official_last_name": "WATERS",
        "authorized_official_first_name": "CASEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-649-7000"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MSPB Cardiology Loxahatchee",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Loxahatchee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.