Lawrence M Model, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME137239 Issued in FL

Practice address

2230 W Atlantic Ave
Delray Beach, FL 33445-4637

Phone

(866) 300-6955

NPI assigned

Jul 6, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pomona Pain Management

  • Physical Medicine & Rehabilitation Physician
  • Pomona, NY
  • NPI 1750332128
  NPD (past) Authorized official

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

{
    "created_epoch": "1120608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566432000000",
    "number": "1184621054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10847 THOMAS LAKE MNR",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334734937",
            "telephone_number": "845-598-3334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2230 W ATLANTIC AVE",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334454637",
            "telephone_number": "866-300-6955"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10847 THOMAS LAKE MNR",
            "address_purpose": "LOCATION",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334734937",
            "country_code": "US",
            "telephone_number": "845-598-3334",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MODEL",
        "first_name": "LAWRENCE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-06",
        "last_updated": "2019-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "135753",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "FL",
            "license": "ME137239",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME137239",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00916876",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shannon M Mitchell, APRN
• Jamie Blythe Mitnick, PA
• Mni Medical Services, PLLC
• Mobilize Physical Therapy
• Valerie Nicole Mock, PA-C
• Modern Chiropractic Center of Delray PA (Dr. Peter Vapnek Chiropractic and Massage Therapy Center)
• Mohamed Erritouni MD Inc
• Samira Mohammed, RBT
• Joy Mojica
• Molar Bear Dental PA

• Family Medicine Physician in Delray Beach, FL
• Providers in Delray Beach, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2019; 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.