Palm Beach Community Care, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

PALM BEACH COMMUNITY CARE, LLC

Practice address

2150 Lake Ida Rd Ste 5
Delray Beach, FL 33445-2443

Phone

(561) 330-3026

Fax

(561) 330-3027

NPI assigned

Jul 23, 2018

Organization subpart

No

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

Authorized official

Name

Mrunalini Kavuri, M.D.NPI 1063639516

Title

President

Phone

(561) 330-3026

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mrunalini Kavuri, MD

  • Adult Medicine Physician
  • Delray Beach, FL
  • NPI 1063639516
  NPD Authorized official

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

{
    "created_epoch": "1532304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532304000000",
    "number": "1205313244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 LAKE IDA RD STE 5",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334452443",
            "telephone_number": "561-330-3026",
            "fax_number": "561-330-3027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 LAKE IDA RD STE 5",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334452443",
            "telephone_number": "561-330-3026",
            "fax_number": "561-330-3027"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2150 Lake Ida Rd Ste 5",
            "address_purpose": "LOCATION",
            "city": "Delray Beach",
            "state": "FL",
            "postal_code": "334452443",
            "country_code": "US",
            "telephone_number": "561-330-3026",
            "fax_number": "561-330-3027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PALM BEACH COMMUNITY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-23",
        "last_updated": "2018-07-23",
        "status": "A",
        "authorized_official_last_name": "KAVURI",
        "authorized_official_first_name": "MRUNALINI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-330-3026",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria De Los Angeles Pagan, LCSW
• Ciana Pagano
• Monica Theresa Pagliarulo-Wallace, CPM, LM
• Michael Benjamin Alexander Paisner, DDS
• Palm Beach Botox
• Palm Beach Cosmetic Dentistry
• Palm Beach County Health Dept.
• Palm Beach Eye Center Inc
• Palm Beach Family Foot Care, P.a.
• Palm Beach International Physical Therapy Inc

• Primary Care Clinic/Center in Delray Beach, FL
• Providers in Delray Beach, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2018; 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.