Palm Beach Vascular Institute LLC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

PALM BEACH VASCULAR INSTITUTE LLC

Practice address

11211 Prosperity Farms Rd Ste D223
Palm Beach Gardens, FL 33410-3491

Phone

(561) 782-4141

NPI assigned

Dec 29, 2025

Last updated

Oct 4, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Corbin PominvilleNPI 1962076281

Title

Owner

Phone

(315) 523-5653

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Corbin Pominville

  • Physical Therapist
  • Palm Beach Gardens, FL
  • NPI 1962076281
  NPD Authorized official
• Dimitar Dimitrov, PT

  • Physical Therapist
  • Palm Beach Gardens, FL
  • NPI 1801463591
  NPD (past)

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

{
    "created_epoch": "1766966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791072000000",
    "number": "1225994882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6198 RIVERWALK LN UNIT 8",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334584656",
            "telephone_number": "315-523-5653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11211 PROSPERITY FARMS RD STE D223",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334103491",
            "telephone_number": "561-782-4141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM BEACH VASCULAR INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-29",
        "last_updated": "2026-10-04",
        "certification_date": "2026-10-04",
        "status": "A",
        "authorized_official_last_name": "POMINVILLE",
        "authorized_official_first_name": "CORBIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-523-5653"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Palm Beach Psychiatry, PLLC
• Palm Beach Regional Opco LLC (Palm Beach Gardens Regional Surgery Center)
• Palm Beach Spine Specialists
• Palm Beach Surgical Suites LLC
• Palm Beach Trauma Associates
• Tobia A Palma, M.D.
• David R Palo
• Ravi V Pandey, MD
• Desiree Vasquez Panganiban, ARNP
• Linda Panzica, MSED, BCBA

• Radiology Clinic/Center in Palm Beach Gardens, FL
• Providers in Palm Beach Gardens, FL by specialty
• Radiology Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2026; 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.