Prime Doc LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PRIME DOC LLC

Practice address

3345 Burns Rd Ste 204
Palm Beach Gardens, FL 33410-4306

Phone

(561) 622-7604

NPI assigned

Nov 11, 2022

Organization subpart

No

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

Authorized official

Name

Shady Salib, MDNPI 1245218296

Title

Owner

Phone

(561) 901-0429

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shady Salib, MD

  • Internal Medicine Physician
  • Palm Beach Gardens, FL
  • NPI 1245218296
  NPD Authorized official

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

{
    "created_epoch": "1668124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668124800000",
    "number": "1124736707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3345 BURNS RD STE 204",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104306",
            "telephone_number": "561-622-7604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3345 BURNS RD STE 204",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104306",
            "telephone_number": "561-622-7604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME DOC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-11",
        "last_updated": "2022-11-11",
        "certification_date": "2022-11-11",
        "status": "A",
        "authorized_official_last_name": "SALIB",
        "authorized_official_first_name": "SHADY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-901-0429",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.fmcpb.com/",
            "affiliation": "N",
            "address_1": "3345 Burns Rd Ste 204",
            "city": "Palm Beach Gardens",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334104306",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Primary Mdpsych LLC
• Prime Neurology Center of Excellence PLLC
• Primepoint Professional Services LLC
• Jessica Jade Principe
• Private Home Care LLC
• Prizm Medical Solutions

• Internal Medicine Physician in Palm Beach Gardens, FL
• Providers in Palm Beach Gardens, 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 Nov 11, 2022; 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.