Organization Active NPI

C Roberto Palma MD PA

  • Specialist
  • Fort Lauderdale, FL
National Provider Identifier
1215231865
Registry record updated Dec 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME 39072 Issued in FL
Legal business name
C ROBERTO PALMA MD PA
Practice address
910 NE 26TH Ave
Fort Lauderdale, FL 33304-3607
Phone
(954) 565-8282
Fax
(954) 565-8994
NPI assigned
Dec 22, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2010

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

Authorized official

Name
Dr. C Roberto Palma, M.D.
Title
Owner
Phone
(954) 565-8282

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X ME 39072 FL Primary

Addresses

Primary practice location

910 NE 26TH Ave
Fort Lauderdale, FL 33304-3607

Mailing address

910 NE 26TH Ave
Fort Lauderdale, FL 33304-3607
Phone (954) 565-8282

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1292976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292976000000",
    "number": "1215231865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 NE 26TH AVE",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333043607",
            "telephone_number": "954-565-8282",
            "fax_number": "954-565-8994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 NE 26TH AVE",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333043607",
            "telephone_number": "954-565-8282",
            "fax_number": "954-565-8994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C ROBERTO PALMA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-22",
        "last_updated": "2010-12-22",
        "status": "A",
        "authorized_official_last_name": "PALMA",
        "authorized_official_first_name": "C ROBERTO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-565-8282",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME 39072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2010; 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.