Organization Active NPI

Rma of Lake Worth LLC

  • Family Medicine Physician
  • Lake Worth, FL
National Provider Identifier
1194075739
Registry record updated Jan 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
RMA OF LAKE WORTH LLC
Practice address
6432 Lake Worth Road
Lake Worth, FL 33463-3008
Phone
(561) 967-2334
Fax
(561) 967-8256
NPI assigned
Sep 11, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2014

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

Authorized official

Name
Mr. Jeff Dudley
Title
Coo
Phone
(954) 318-6590

Specialties & licenses 1

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

Addresses

Primary practice location

6432 Lake Worth Road
Lake Worth, FL 33463-3008

Mailing address

6432 Lake Worth Road
Lake Worth, FL 33463-3008
Phone (561) 967-2334

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1347321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388707200000",
    "number": "1194075739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6432 LAKE WORTH ROAD",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334633008",
            "telephone_number": "561-967-2334",
            "fax_number": "561-967-8256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6432 LAKE WORTH ROAD",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334633008",
            "telephone_number": "561-967-2334",
            "fax_number": "561-967-8256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RMA OF LAKE WORTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-11",
        "last_updated": "2014-01-03",
        "status": "A",
        "authorized_official_last_name": "DUDLEY",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "954-318-6590",
        "authorized_official_name_prefix": "Mr."
    },
    "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 Lake Worth, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2014; 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.