NPIMap

Organization Active NPI

Palm Beach Pediatrics, LLC

  • Pediatrics Physician
  • Loxahatchee Groves, FL
National Provider Identifier
1346209244
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
PALM BEACH PEDIATRICS, LLC
Practice address
13475 Southern Blvd Ste 202
Loxahatchee Groves, FL 33470-9234
Phone
(561) 509-5009
NPI assigned
Mar 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

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

Authorized official

Name
Elizabeth Larsen
Title
Head of Practice Operations
Phone
(319) 936-6898

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X Primary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X

Addresses

Primary practice location

13475 Southern Blvd Ste 202
Loxahatchee Groves, FL 33470-9234

Mailing address

2000 Palm Beach Lakes Blvd Ste 901
West Palm Beach, FL 33409-6506
Phone (561) 509-5009

Other practice location 1

5000-3 Norwood Ave
Jacksonville, FL 32208-5001
Phone (561) 509-5009

Other practice location 2

4700 N Congress Ave Ste 201
West Palm Beach, FL 33407-3291
Phone (561) 509-5009

Other practice location 3

6855 Wilson Blvd Ste 2
Jacksonville, FL 32210-3600
Phone (561) 509-5009

Other practice location 4

7613 NW 57th St
Sunrise, FL 33351-4338
Phone (561) 509-5009

Other practice location 5

6080 Boynton Beach Blvd Ste 240
Boynton Beach, FL 33437-3586
Phone (561) 509-5009

Other identifiers 9

IdentifierTypeStateIssuer
379641800MedicaidFL
124121505MedicaidFL
379641802MedicaidFL
124121502MedicaidFL
124121504MedicaidFL
379641801MedicaidFL
124121500MedicaidFL
124121501MedicaidFL
124121503MedicaidFL

Other names 2

  • Bluebird Kids Health Doing business as
  • Palm Beach Pediatrics, PA Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Palm Beach Pediatrics LLC12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Locations

8200 S Jog Rd
Ste 203
Boynton Beach, FL 33472
Phone (561) 327-4960

5000 Norwood Ave
Jacksonville, FL 32208

6855 Wilson Blvd
Ste 2
Jacksonville, FL 32210

7613 NW 57th St
Sunrise, FL 33351
Phone (954) 720-3700

2000 Palm Beach Lakes Blvd
Ste 901
West Palm Beach, FL 33409

4700 N Congress Ave
West Palm Beach, FL 33407
Phone (561) 213-2335

5589 Okeechobee Blvd
Ste 102
West Palm Beach, FL 33417
Phone (561) 471-1144

Practitioners & affiliated clinicians

Practitioners 30

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

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765411200000",
    "number": "1346209244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 PALM BEACH LAKES BLVD STE 901",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334096506",
            "telephone_number": "561-509-5009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13475 SOUTHERN BLVD STE 202",
            "city": "LOXAHATCHEE GROVES",
            "state": "FL",
            "postal_code": "334709234",
            "telephone_number": "561-509-5009"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5000-3 NORWOOD AVE",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322085001",
            "country_code": "US",
            "telephone_number": "561-509-5009",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4700 N Congress Ave Ste 201",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334073291",
            "country_code": "US",
            "telephone_number": "561-509-5009",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6855 Wilson Blvd Ste 2",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322103600",
            "country_code": "US",
            "telephone_number": "561-509-5009",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7613 NW 57th St",
            "address_purpose": "LOCATION",
            "city": "Sunrise",
            "state": "FL",
            "postal_code": "333514338",
            "country_code": "US",
            "telephone_number": "561-509-5009",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6080 Boynton Beach Blvd Ste 240",
            "address_purpose": "LOCATION",
            "city": "Boynton Beach",
            "state": "FL",
            "postal_code": "334373586",
            "country_code": "US",
            "telephone_number": "561-509-5009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PALM BEACH PEDIATRICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-20",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A",
        "authorized_official_last_name": "LARSEN",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "HEAD OF PRACTICE OPERATIONS",
        "authorized_official_telephone_number": "319-936-6898"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "379641800",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "124121505",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "379641802",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "124121502",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "124121504",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "379641801",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "124121500",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "124121501",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "124121503",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bluebird Kids Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Palm Beach Pediatrics, PA",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Palm Beach Pediatrics, PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Loxahatchee Groves, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2025; 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.