Island Life MD LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME117139 Issued in FL

Legal business name

ISLAND LIFE MD LLC

Practice address

9970 Central Park Blvd N
Suite 102
Boca Raton, FL 33428-2231

Phone

(561) 430-3599

Fax

(561) 430-3529

NPI assigned

Apr 9, 2015

Last updated

Apr 9, 2015By 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

Dominik Chrzan, MDNPI 1487967170

Title

President

Phone

(215) 740-5746

Specialties & licenses 1

Addresses

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.

• Dominik M Chrzan, M.D.

  • Family Medicine Physician
  • Boca Raton, FL
  • NPI 1487967170
  Authorized official Same address or phone

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

{
    "created_epoch": "1428537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428537600000",
    "number": "1093101784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 SPANISH RIVER RD APT 202",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334327607",
            "telephone_number": "215-740-5746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9970 CENTRAL PARK BLVD N",
            "address_2": "SUITE 102",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334282231",
            "telephone_number": "561-430-3599",
            "fax_number": "561-430-3529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND LIFE MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-09",
        "last_updated": "2015-04-09",
        "status": "A",
        "authorized_official_last_name": "CHRZAN",
        "authorized_official_first_name": "DOMINIK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-740-5746",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME117139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel Gilbert Isaacs, MSW, LCSW
• Richard S Isaacson, M.D.
• Stuart H Isaacson, MD
• Isidro R. Martinez MD LLC
• Sara Iskandar
• Atea Isom, LMT
• Hilary Janet Israch, MSW
• Israel Korobkin DMD PA
• Jay Eric Itzkowitz, MSPT
• Ives Medical Group, LLC

• Family Medicine Physician in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2015; 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.