Grace Medical Center of Florida, Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

GRACE MEDICAL CENTER OF FLORIDA, INC.

Practice address

4212 Northlake Blvd
Palm Beach Gardens, FL 33410-6252

Phone

(561) 841-6252

NPI assigned

Sep 9, 2013

Organization subpart

No

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

Authorized official

Name

Wyslaine Lamontagne, MDNPI 1811182918

Title

President

Phone

(561) 841-6252

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JHCCDA

Practitioners 2

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

• Wyslaine Lamontagne, MD

  • Internal Medicine Physician
  • Palm Beach Gardens, FL
  • NPI 1811182918
  Medicare reassignment NPD Authorized official
• Corine Deronvil, APRN, FNP-BC

  • Family Nurse Practitioner
  • West Palm Beach, FL
  • NPI 1164862215
  Medicare reassignment NPD

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

{
    "created_epoch": "1378684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404345600000",
    "number": "1235564303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4212 NORTHLAKE BLVD",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334106252",
            "telephone_number": "561-841-6252",
            "fax_number": "561-841-6260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4212 NORTHLAKE BLVD",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334106252",
            "telephone_number": "561-841-6252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE MEDICAL CENTER OF FLORIDA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-09",
        "last_updated": "2014-07-03",
        "status": "A",
        "authorized_official_last_name": "LAMONTAGNE",
        "authorized_official_first_name": "WYSLAINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-841-6252",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Patrice Gould, L.C.S.W.
• Rebecca L Gould, MSC, CCC-SLP, BRS-S
• Karen Gouws Lester, MHC
• Tye'E R Govan
• Denise Marie Grabowski
• Nora Mary Grady, MSN, RN, CPNP-PC
• Stuart Malcolm Graham II, M.D.
• Gray Physical Therapy, Inc
• Vera Gumiela Gray, MMS PA-C
• Heather Nicole Green, PHARMD

• Internal Medicine Physician in Palm Beach Gardens, FL
• Providers in Palm Beach Gardens, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.