Olympia Medical Center, Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

OLYMPIA MEDICAL CENTER, INC.

Practice address

3933 Haverhill Rd N
Suite 115
West Palm Beach, FL 33417-7424

Phone

(561) 478-7659

Fax

(561) 478-7957

NPI assigned

Nov 30, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Renes Castor, MD

Title

Owner

Phone

(561) 478-7659

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558483200000",
    "number": "1104800556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3933 N HAVERHILL RD STE 115",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334178338",
            "telephone_number": "561-478-7659",
            "fax_number": "877-317-6158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3933 HAVERHILL RD N",
            "address_2": "SUITE 115",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334177424",
            "telephone_number": "561-478-7659",
            "fax_number": "561-478-7957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLYMPIA MEDICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-30",
        "last_updated": "2019-05-22",
        "status": "A",
        "authorized_official_last_name": "CASTOR",
        "authorized_official_first_name": "RENES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-478-7659",
        "authorized_official_name_prefix": "Dr.",
        "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": []
}

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• Internal Medicine Physician in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2019; 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.