Organization Active NPI

Renew Welness of Boca LLC

  • Family Medicine Physician
  • Boca Raton, FL
National Provider Identifier
1184502502
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
RENEW WELNESS OF BOCA LLC
Practice address
499 E Palmetto Park Rd Ste 207
Boca Raton, FL 33432-5081
Phone
(678) 799-1669
NPI assigned
Aug 25, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2025

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

Authorized official

Name
Mrs. Farah Baudin
Title
Office Consultant
Phone
(786) 277-1621

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

499 E Palmetto Park Rd Ste 207
Boca Raton, FL 33432-5081

Mailing address

499 E Palmetto Park Rd Ste 207
Boca Raton, FL 33432-5081
Phone (678) 799-1669

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1756080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756080000000",
    "number": "1184502502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "499 E PALMETTO PARK RD STE 207",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334325081",
            "telephone_number": "678-799-1669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "499 E PALMETTO PARK RD STE 207",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334325081",
            "telephone_number": "678-799-1669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEW WELNESS OF BOCA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-25",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-24",
        "status": "A",
        "authorized_official_last_name": "BAUDIN",
        "authorized_official_first_name": "FARAH",
        "authorized_official_title_or_position": "OFFICE CONSULTANT",
        "authorized_official_telephone_number": "786-277-1621",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2025; 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.