Royal Palm Beach Medical Group Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

ROYAL PALM BEACH MEDICAL GROUP INC.

Doing business as

Royal Palm Beach Medical Group

Practice address

11903 Southern Blvd
Suite 108
Royal Palm Beach, FL 33411-7644

Phone

(561) 793-1475

Fax

(561) 793-1478

NPI assigned

Nov 12, 2009

Last updated

Jul 9, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

ROYAL PALM BEACH MEDICAL GROUPAs reported in NPPES

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

Authorized official

Name

Jemima DorcinNPI 1619768397

Title

Primary Manager

Phone

(561) 793-1475

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• ROYAL PALM BEACH MEDICAL GROUP Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

Royal Palm Beach Medical Group LLC

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jemima Dorcin, MA

  • Health Information Technician
  • West Palm Beach, FL
  • NPI 1619768397
  NPD Authorized official

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

{
    "created_epoch": "1257984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720483200000",
    "number": "1205163250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11903 SOUTHERN BLVD",
            "address_2": "SUITE 108",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334117644",
            "telephone_number": "561-793-1475",
            "fax_number": "561-793-1478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11903 SOUTHERN BLVD",
            "address_2": "SUITE 108",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334117644",
            "telephone_number": "561-793-1475",
            "fax_number": "561-793-1478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROYAL PALM BEACH MEDICAL GROUP INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ROYAL PALM BEACH MEDICAL GROUP",
        "enumeration_date": "2009-11-12",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A",
        "authorized_official_last_name": "DORCIN",
        "authorized_official_first_name": "JEMIMA",
        "authorized_official_title_or_position": "PRIMARY MANAGER",
        "authorized_official_telephone_number": "561-793-1475"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101524700",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "014607400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ROYAL PALM BEACH MEDICAL GROUP",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ROYAL PALM BEACH MEDICAL GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Royal Palm Chiropractic & Rehab Center P.a. (Royal Palm Chiropractic)
• Royal Palm Dental Arts LLC

• Internal Medicine Physician in Royal Palm Beach, FL
• Providers in Royal Palm Beach, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.