WPB Medical Provider, Inc.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

3201662 Issued in FL

Legal business name

WPB MEDICAL PROVIDER, INC.

Practice address

464 Fern St
West Palm Beach, FL 33401-5818

Phone

(561) 822-2000

NPI assigned

Jun 21, 2014

Last updated

Jun 21, 2014By 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

Mrs. Colleen Parkhurst

Title

Practice Administrator

Phone

(561) 822-2000

Specialties & licenses 1

Addresses

Locations

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.

• Colleen Marie Deboskey, ARNP

  • Family Nurse Practitioner
  • West Palm Beach, FL
  • NPI 1760885354
  NPD (past)

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

{
    "created_epoch": "1403308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403308800000",
    "number": "1043625718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "464 FERN ST",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334015818",
            "telephone_number": "561-822-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "464 FERN ST",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334015818",
            "telephone_number": "561-822-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WPB MEDICAL PROVIDER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-21",
        "last_updated": "2014-06-21",
        "status": "A",
        "authorized_official_last_name": "PARKHURST",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "561-822-2000",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "3201662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wound Solutions LLC
• Stephen K Woyome, M.D.
• WP Behavioral Health Services Corp
• WP Blue Horizon Psychiatry LLC (Blue Horizon Psychiatry LLC)
• WP Chiropractic PA
• WPB MRI LLC
• WPB Select Home Care LLC
• WPB Therapy Center Inc
• WPB VA Medical Center
• WR United Services Corp

• Clinic/Center in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2014; 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.