Androgenix LLC

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

ME83309 Issued in FL

Legal business name

ANDROGENIX LLC

Practice address

401 Northlake Blvd
Ste 7
North Palm Beach, FL 33408-5428

Phone

(561) 801-2949

Fax

(877) 318-8114

NPI assigned

Dec 30, 2016

Organization subpart

No

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

Authorized official

Name

Zachary Breakey

Title

Owener

Phone

(561) 801-2949

Specialties & licenses 2

Addresses

Other names 1

• Androgenix Advanced Health and Wellness Center Doing business as

Locations

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

{
    "created_epoch": "1483056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483056000000",
    "number": "1174068043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 NORTHLAKE BLVD",
            "address_2": "STE 7",
            "city": "NORTH PALM BEACH",
            "state": "FL",
            "postal_code": "334085428",
            "telephone_number": "561-801-2949",
            "fax_number": "877-318-8114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 NORTHLAKE BLVD",
            "address_2": "STE 7",
            "city": "NORTH PALM BEACH",
            "state": "FL",
            "postal_code": "334085428",
            "telephone_number": "561-801-2949",
            "fax_number": "877-318-8114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDROGENIX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-30",
        "last_updated": "2016-12-30",
        "status": "A",
        "authorized_official_last_name": "BREAKEY",
        "authorized_official_first_name": "ZACHARY",
        "authorized_official_title_or_position": "OWENER",
        "authorized_official_telephone_number": "561-801-2949"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Naturopath",
            "state": "IN",
            "license": null,
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "FL",
            "license": "ME83309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Androgenix Advanced Health and Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Anatomic Pathology & Clinical Pathology Physician in North Palm Beach, FL
• Providers in North Palm Beach, FL by specialty
• Anatomic Pathology & Clinical Pathology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.