NPIMap

Organization Active NPI

Palm Beach Heart & Vascular, LLC

  • Interventional Cardiology Physician
  • Boynton Beach, FL
National Provider Identifier
1174174239
Registry record updated Jun 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
Legal business name
PALM BEACH HEART & VASCULAR, LLC
Practice address
2609 W Woolbright Rd Ste 4
Boynton Beach, FL 33436-6634
Phone
(561) 500-5347
Fax
(561) 264-5347
NPI assigned
Sep 20, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2023

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

Authorized official

Name
Paul Michael, MD
Title
President
Phone
(561) 500-5347

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RC0000X
Interventional Cardiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RI0011X Primary

Addresses

Primary practice location

2609 W Woolbright Rd Ste 4
Boynton Beach, FL 33436-6634

Mailing address

2609 W Woolbright Rd Ste 4
Boynton Beach, FL 33436-6634
Phone (561) 500-5347

Other identifiers 1

IdentifierTypeStateIssuer
015021200MedicaidFL

National Provider Directory

National Provider Directory

Locations

2609 W Woolbright Rd
Ste 4
Boynton Beach, FL 33436
Phone (407) 369-3068

7730 W Boynton Beach Blvd
Ste 7
Boynton Beach, FL 33437
Phone (561) 369-2199

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1568937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686268800000",
    "number": "1174174239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2609 W WOOLBRIGHT RD STE 4",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334366634",
            "telephone_number": "561-500-5347",
            "fax_number": "561-264-5347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2609 W WOOLBRIGHT RD STE 4",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334366634",
            "telephone_number": "561-500-5347",
            "fax_number": "561-264-5347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM BEACH HEART & VASCULAR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-20",
        "last_updated": "2023-06-09",
        "certification_date": "2023-06-09",
        "status": "A",
        "authorized_official_last_name": "MICHAEL",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-500-5347",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015021200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2023; 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.