South Palm Gi PA

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

SOUTH PALM GI PA

Practice address

4675 Linton Blvd
Suite 202
Delray Beach, FL 33445-6611

Phone

(561) 495-5700

Fax

(561) 495-2020

NPI assigned

Sep 23, 2005

Organization subpart

No

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

Authorized official

Name

Michael Lloyd Blum, M.D.

Title

President

Phone

(561) 495-5700

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197504000000",
    "number": "1295721389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4675 LINTON BLVD",
            "address_2": "SUITE 202",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334456611",
            "telephone_number": "561-495-5700",
            "fax_number": "561-495-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4675 LINTON BLVD",
            "address_2": "SUITE 202",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334456611",
            "telephone_number": "561-495-5700",
            "fax_number": "561-495-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH PALM GI PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-23",
        "last_updated": "2007-12-13",
        "status": "A",
        "authorized_official_last_name": "BLUM",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "LLOYD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-495-5700",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Florida Treatment Solutions
• South Florida Vision Services, Inc.
• South Florida Womens Cancer Care LLC
• South Palm Cardiovascular Associates LLC
• South Palm Cardiovascular Associates LLC
• South Palm Orthopedics P a
• South Palm Orthospine Institute
• Southeast Florida Physician Assistant Assoc. Inc
• Southeast Homecare Corporatoin
• Southeast Homecare LLC

• Gastroenterology Physician in Delray Beach, FL
• Providers in Delray Beach, FL by specialty
• Gastroenterology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2007; 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.