Organization Active NPI

Therapeutic Services of the Palm Bea

  • Specialist
  • West Palm Beach, FL
National Provider Identifier
1164705729
Registry record updated Dec 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
THERAPEUTIC SERVICES OF THE PALM BEA
Practice address
2200 North Florida Mango Road
Suite 201
West Palm Beach, FL 33409-6464
Phone
(561) 296-5288
Fax
(561) 296-5287
NPI assigned
Sep 21, 2011
Last updated
Dec 29, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2011

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

Authorized official

Name
Dr. Robert Allen Moran, M.D.
Title
Ceo & Medical Director
Phone
(561) 296-5288

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

2200 North Florida Mango Road
Suite 201
West Palm Beach, FL 33409-6464

Mailing address

2200 North Florida Mango Road
Suite 201
West Palm Beach, FL 33409-6464
Phone (561) 296-5288

National Provider Directory

National Provider Directory

Locations

2200 N Florida Mango Rd
Ste 201
West Palm Beach, FL 33409
Phone (561) 296-5288

NPI Registry JSON

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

{
    "created_epoch": "1316563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325116800000",
    "number": "1164705729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 NORTH FLORIDA MANGO ROAD",
            "address_2": "SUITE 201",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334096464",
            "telephone_number": "561-296-5288",
            "fax_number": "561-296-5287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 NORTH FLORIDA MANGO ROAD",
            "address_2": "SUITE 201",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334096464",
            "telephone_number": "561-296-5288",
            "fax_number": "561-296-5287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPEUTIC SERVICES OF THE PALM BEA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-21",
        "last_updated": "2011-12-29",
        "status": "A",
        "authorized_official_last_name": "MORAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "CEO & MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "561-296-5288",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2011; 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.