Palm Beach Emc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PALM BEACH EMC

Practice address

4519 Lake Worth Road
Greenacres, FL 33463

Phone

(561) 704-4925

Fax

(561) 509-6010

NPI assigned

Sep 22, 2016

Organization subpart

No

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

Authorized official

Name

Jamie M Andre, MD

Title

President

Phone

(561) 704-4925

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1474502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474502400000",
    "number": "1104375906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 541541",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "33454",
            "telephone_number": "561-704-4925",
            "fax_number": "561-509-6010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4519 LAKE WORTH ROAD",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "33463",
            "telephone_number": "561-704-4925",
            "fax_number": "561-509-6010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM BEACH EMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-22",
        "last_updated": "2016-09-22",
        "status": "A",
        "authorized_official_last_name": "ANDRE",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-704-4925",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Our Sacred Academy, Inc.
• Vivenne T Owen
• Kayleigh Paccio, LMHC
• Palm Beach ABA Therapy
• Palm Beach Behavioral Center
• Palm Beach Family Medical Associates Inc
• Palm Beach Home Care Services, Inc.
• Palm Beach Kidney Specialists, Inc.
• Palm Beach Kidney Specialists, Inc.
• Palm Beach Medical and Rehab

• Family Medicine Physician in Greenacres, FL
• Providers in Greenacres, 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 Sep 22, 2016; 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.