South Palm Medical Associates

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

SOUTH PALM MEDICAL ASSOCIATES

Practice address

10151 Enterprise Ctr
Suite 101
Boynton Beach, FL 33437-3759

Phone

(561) 734-4352

Fax

(561) 735-6501

NPI assigned

Jun 10, 2006

Last updated

Jun 2, 2016By 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

Dr. David Ijac, MD

Title

Owner

Phone

(561) 732-2136

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464825600000",
    "number": "1114968914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10151 ENTERPRISE CENTER BLVD,",
            "address_2": "SUITE 101",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334373724",
            "telephone_number": "561-732-2136",
            "fax_number": "561-735-6501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10151 ENTERPRISE CTR",
            "address_2": "SUITE 101",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334373759",
            "telephone_number": "561-734-4352",
            "fax_number": "561-735-6501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH PALM MEDICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2016-06-02",
        "status": "A",
        "authorized_official_last_name": "IJAC",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-732-2136",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Florida Bone Marrow Stem Cell Transplant Institute
• South Florida Chiropractic Associates LLC
• South Florida Speech and Language Services, Inc,
• South Florida Surgical Specialists, LLC
• South Florida Vision Services, Inc.
• South Palm Orthospine Institute
• Southeastern Dental Associates I
• Southern Anesthesia Providers, Inc.
• Southlake Surgical Assistant Services LLC
• Sovereign Healthcare of Boynton Beach, LLC (Boynton Beach Rehabilitation Center)

• Internal Medicine Physician in Boynton Beach, FL
• Providers in Boynton 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 Jun 2, 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.