Delray Medical Physician Services LLC

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

Legal business name

DELRAY MEDICAL PHYSICIAN SERVICES LLC

Practice address

5352 Linton Blvd
Delray Beach, FL 33484-6514

Phone

(561) 637-5354

Fax

(561) 637-5131

NPI assigned

May 1, 2014

Organization subpart

No

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

Authorized official

Name

Ms. Marsha D Powers

Title

SVP Regional Operations, Tenet

Phone

(954) 509-3671

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1398902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464220800000",
    "number": "1205246188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5352 LINTON BLVD",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334846514",
            "telephone_number": "561-637-5354",
            "fax_number": "561-637-5131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5352 LINTON BLVD",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334846514",
            "telephone_number": "561-637-5354",
            "fax_number": "561-637-5131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELRAY MEDICAL PHYSICIAN SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-01",
        "last_updated": "2016-05-26",
        "status": "A",
        "authorized_official_last_name": "POWERS",
        "authorized_official_first_name": "MARSHA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "SVP REGIONAL OPERATIONS, TENET",
        "authorized_official_telephone_number": "954-509-3671",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Delray Nursing and Rehab LLC (The Cascades Health and Rehabilitation Center)
• Delray Optical Service Inc
• Delray Oral Surgery, Inc

• Clinical Neuropsychologist in Delray Beach, FL
• Providers in Delray Beach, FL by specialty
• Clinical Neuropsychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2016; 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.