Palm Lake Medical Center Inc

Primary specialty

Ph.D. Medical GeneticsTaxonomy code 170100000X

Legal business name

PALM LAKE MEDICAL CENTER INC

Practice address

4715 NW 157TH St
Suite 111-115
Hialeah, FL 33014-6435

Phone

(305) 405-2939

NPI assigned

Mar 8, 2007

Last updated

Aug 22, 2020By 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

Angel Garcia

Title

President

Phone

(305) 576-4291

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245361518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4715 NW 157TH ST",
            "address_2": "SUITE 111-115",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330146435",
            "telephone_number": "305-405-2939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4715 NW 157TH ST",
            "address_2": "SUITE 111-115",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330146435",
            "telephone_number": "305-405-2939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM LAKE MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "ANGEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-576-4291"
    },
    "taxonomies": [
        {
            "code": "170100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Medical Genetics, Ph.D. Medical Genetics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ph.D. Medical Genetics in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Ph.D. Medical Genetics in Florida

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