Cornerstone Medical Center

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

ME100976 Issued in FL

Legal business name

CORNERSTONE MEDICAL CENTER

Practice address

1117 Royal Palm Beach Blvd
Royal Palm Beach, FL 33411-1641

Phone

(561) 422-0037

Fax

(561) 422-0115

NPI assigned

Mar 10, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Leslie D Theodore, M.D.NPI 1710997879

Title

Director

Phone

(561) 422-0037

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.

• Leslie Theodore, MD

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1710997879
  NPD (past) Authorized official

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

{
    "created_epoch": "1205107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205107200000",
    "number": "1326218090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "683 HALF HOLLOW RD",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117466232",
            "telephone_number": "631-960-2544",
            "fax_number": "718-613-4754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 ROYAL PALM BEACH BLVD",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334111641",
            "telephone_number": "561-422-0037",
            "fax_number": "561-422-0115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-10",
        "last_updated": "2008-03-10",
        "status": "A",
        "authorized_official_last_name": "THEODORE",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "561-422-0037",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME100976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew D Cooper, DMD
• Justin Cooper, D.M.D., M.S.D.
• Cordero Chiropractic & Associates
• Giuseppe Corinella, D.C.
• Karly Corneille, RRT
• Don Lawrence Corpus, M.D.
• Corrective Chiropractic PLLC
• Daniel Ricardo Cortada Pavon
• Yessenia Cortez
• Ariadna Maria Cossio-Wong, BCBA,MA

• General Practice Physician in Royal Palm Beach, FL
• Providers in Royal Palm Beach, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2008; 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.