Transformative Medical Care of Palm Beach County,LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME126589 Issued in FL

Legal business name

TRANSFORMATIVE MEDICAL CARE OF PALM BEACH COUNTY,LLC

Practice address

16104 Robin Way
Jupiter, FL 33478-6334

Phone

(561) 277-9661

NPI assigned

Feb 17, 2017

Last updated

Feb 17, 2017By 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

Dr. Jacqueline Denise Nunez, M.D.NPI 1316031313

Title

Owner

Phone

(561) 277-9661

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Jacqueline Denise Nunez, MD

  • Family Medicine Physician
  • Jupiter, FL
  • NPI 1316031313
  NPD (past) Authorized official

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

{
    "created_epoch": "1487289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487289600000",
    "number": "1265971659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16104 ROBIN WAY",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334786334",
            "telephone_number": "561-277-9661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16104 ROBIN WAY",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334786334",
            "telephone_number": "561-277-9661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANSFORMATIVE MEDICAL CARE OF PALM BEACH COUNTY,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-17",
        "last_updated": "2017-02-17",
        "status": "A",
        "authorized_official_last_name": "NUNEZ",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-277-9661",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME126589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelby J. Trail, DMD
• Rosa Trainer, M.S. CCC-SLP
• Nhien Tran
• Transformations at Jupiter Counseling (Transformations Recovery)
• Transformations Recovery Jupiter
• Samuel Stanley Travis, M.D.
• Treasure Coast Pathology, PA
• Treasure Coast Pathology, PA
• Bridget B Trenkle, LCSW
• Tri-County Hearing and Speech Centers, LLC

• Family Medicine Physician in Jupiter, FL
• Providers in Jupiter, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2017; 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.