Active NPI
Caremedica Florida LLC
- Internal Medicine Physician
- Palm Beach Gardens, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- CAREMEDICA FLORIDA LLC
- Practice address
- 3401 Pga Blvd Ste 310
Palm Beach Gardens, FL 33410-2824 - Phone
- (561) 776-8890
- Fax
- (561) 776-2159
- NPI assigned
- Aug 8, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Fausto Petruzziello, MD
- Title
- Managing Member
- Phone
- (561) 776-8890
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
3401 Pga Blvd Ste 310
Palm Beach Gardens, FL 33410-2824
Mailing address
3401 Pga Blvd Ste 310
Palm Beach Gardens, FL 33410-2824
Phone (561) 776-8890
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D1034958 | Caremedica Florida LLC | Certificate of waiver | Dec 16, 2026 |
National Provider Directory
National Provider DirectoryInteroperability endpoints
- https://fhir4.healow.com/fhir/r4/BHJJBA
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Palm Beach Gardens, FL
- NPI 1467601393
-
- Internal Medicine Physician
- Palm Beach Gardens, FL
- NPI 1235178427
-
- Family Nurse Practitioner
- Margate, FL
- NPI 1265216071
-
- Nephrology Physician
- Palm Beach Gardens, FL
- NPI 1447210372
Internal Medicine
-
- Internal Medicine Physician
- Boca Raton, FL
- NPI 1174561666
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659916800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1659916800000",
"number": "1063149193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3401 PGA BLVD STE 310",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334102824",
"telephone_number": "561-776-8890",
"fax_number": "561-776-2159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3401 PGA BLVD STE 310",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334102824",
"telephone_number": "561-776-8890",
"fax_number": "561-776-2159"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAREMEDICA FLORIDA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-08-08",
"last_updated": "2022-08-08",
"certification_date": "2022-08-08",
"status": "A",
"authorized_official_last_name": "PETRUZZIELLO",
"authorized_official_first_name": "FAUSTO",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "561-776-8890",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palm Beach Gardens, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.