Organization Active NPI

Medical Ipa of the Palm Beaches

  • Health Maintenance Organization
  • Royal Palm Beach, FL
National Provider Identifier
1083683411
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
MEDICAL IPA OF THE PALM BEACHES
Practice address
1117 Royal Palm Beach Blvd
Suite 102
Royal Palm Beach, FL 33411-1641
Phone
(561) 790-2876
Fax
(561) 790-3884
NPI assigned
Mar 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Robert Camerlinck
Title
Chief Financial Officer
Phone
(561) 790-2876

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X Primary

Addresses

Primary practice location

1117 Royal Palm Beach Blvd
Suite 102
Royal Palm Beach, FL 33411-1641

Mailing address

1117 Royal Palm Beach Blvd
Suite 102
Royal Palm Beach, FL 33411-1641
Phone (561) 790-2876

National Provider Directory

National Provider Directory

Locations

1117 Royal Palm Beach Blvd
Ste 102
Royal Palm Beach, FL 33411
Phone (561) 790-2876

NPI Registry JSON

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083683411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1117 ROYAL PALM BEACH BLVD",
            "address_2": "SUITE 102",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334111641",
            "telephone_number": "561-790-2876",
            "fax_number": "561-790-3884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 ROYAL PALM BEACH BLVD",
            "address_2": "SUITE 102",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334111641",
            "telephone_number": "561-790-2876",
            "fax_number": "561-790-3884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL IPA OF THE PALM BEACHES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CAMERLINCK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "561-790-2876",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.