Active NPI
Mauricio Zuluaga, PA-C
- Physician Assistant
- Lake Worth, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9117007
- Practice address
- 238 Fordham Dr
Lake Worth, FL 33460-6219 - Phone
- (561) 929-3626
- NPI assigned
- Jan 30, 2023
- Last updated
- Dec 20, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9117007 | FL | Primary |
Addresses
Primary practice location
238 Fordham Dr
Lake Worth, FL 33460-6219
Mailing address
238 Fordham Dr
Lake Worth, FL 33460-6219
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11800 S Military TRL
Suite 105
Golf, FL 33436-5506
Phone (561) 264-2280
14701 S Military TRL
Delray Beach, FL 33484-8152
Phone (561) 865-4702
1625 S Federal Hwy
Boynton Beach, FL 33435-6953
Phone (561) 945-0544
2181 N Federal Hwy
Boca Raton, FL 33431-7707
Phone (561) 387-3500
2272 N Congress Ave
Boynton Beach, FL 33426-8604
Phone (561) 737-1927
2606 S Dixie Hwy
West Palm Beach, FL 33401-7920
Phone (561) 804-4327
4570 Lantana Rd
Lake Worth, FL 33463-6908
Phone (561) 963-9881
6699 W Boynton Beach Blvd
Boynton Beach, FL 33437-3527
Phone (561) 734-4210
9690 Glades Rd
Unit 425
Boca Raton, FL 33434-4015
Phone (561) 449-2322
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9117007 | FL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MD Now Medical Centers Inc | Current | Accepting new patients |
Locations
4570 Lantana Rd
Lake Worth, FL 33463
Phone (305) 949-4141
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Urgent Care Clinic/Center
- West Palm Beach, FL
- NPI 1033195474
-
- Urgent Care Clinic/Center
- Delray Beach, FL
- NPI 1881970168
-
dba MD Now Urgent Care
- Urgent Care Clinic/Center
- Pembroke Pines, FL
- NPI 1265107361
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734652800000",
"number": "1063128460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "238 FORDHAM DR",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "334606219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "238 FORDHAM DR",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "334606219",
"telephone_number": "561-929-3626"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZULUAGA",
"first_name": "MAURICIO",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-01-30",
"last_updated": "2024-12-20",
"certification_date": "2024-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9117007",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Worth, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.