Organization Active NPI

Myemcdoc LLC

  • General Practice Physician
  • West Palm Beach, FL
National Provider Identifier
1043835259
Registry record updated Jun 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
MYEMCDOC LLC
Practice address
931 Village Blvd Ste 135
West Palm Beach, FL 33409-1803
Phone
(561) 683-4670
Fax
(561) 686-8073
NPI assigned
Jun 12, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2020

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

Authorized official

Name
Andrew P Hope
Title
MBR
Phone
(561) 683-4670

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

931 Village Blvd Ste 135
West Palm Beach, FL 33409-1803

Mailing address

931 Village Blvd Ste 135
West Palm Beach, FL 33409-1803
Phone (561) 683-4670

Other identifiers 1

IdentifierTypeStateIssuer
NONEOtherFLEMC

National Provider Directory

National Provider Directory

Locations

931 Village Blvd
Ste 135
West Palm Beach, FL 33409
Phone (561) 683-4670

NPI Registry JSON

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

{
    "created_epoch": "1591920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591920000000",
    "number": "1043835259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 VILLAGE BLVD STE 135",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334091803",
            "telephone_number": "561-683-4670",
            "fax_number": "561-686-8073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "931 VILLAGE BLVD STE 135",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334091803",
            "telephone_number": "561-683-4670",
            "fax_number": "561-686-8073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYEMCDOC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-12",
        "last_updated": "2020-06-12",
        "certification_date": "2020-06-12",
        "status": "A",
        "authorized_official_last_name": "HOPE",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "MBR",
        "authorized_official_telephone_number": "561-683-4670"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMC",
            "identifier": "NONE",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2020; 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.