Organization Active NPI

Palm Beach Medical and Wellness

  • Internal Medicine Physician
  • West Palm Beach, FL
National Provider Identifier
1225669922
Registry record updated Jan 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PALM BEACH MEDICAL AND WELLNESS
Practice address
400 Executive Center Dr Ste 206
West Palm Beach, FL 33401-2922
Phone
(561) 667-3383
NPI assigned
Jan 31, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2020

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

Authorized official

Name
Michael Rappa
Title
Ceo
Phone
(561) 667-3383

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

400 Executive Center Dr Ste 206
West Palm Beach, FL 33401-2922

Mailing address

400 Executive Center Dr Ste 206
West Palm Beach, FL 33401-2922
Phone (561) 667-3383

National Provider Directory

National Provider Directory

Locations

400 Executive Center Dr
Ste 206
West Palm Beach, FL 33401
Phone (561) 667-3383

NPI Registry JSON

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

{
    "created_epoch": "1580428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580428800000",
    "number": "1225669922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 EXECUTIVE CENTER DR STE 206",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334012922",
            "telephone_number": "561-667-3383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 EXECUTIVE CENTER DR STE 206",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334012922",
            "telephone_number": "561-667-3383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM BEACH MEDICAL AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-31",
        "last_updated": "2020-01-31",
        "certification_date": "2020-01-31",
        "status": "A",
        "authorized_official_last_name": "RAPPA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-667-3383"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2020; 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.