Palm Beach Medical Center Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

HCC5625 Issued in FL

Legal business name

PALM BEACH MEDICAL CENTER INC

Practice address

4394 Palm Beach BLD
Fort Myers, FL 33905-3446

Phone

(239) 690-1817

Fax

(239) 690-1362

NPI assigned

May 17, 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

Mr. Gerard S Valere

Title

President

Phone

(239) 690-1817

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376750687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4394 PALM BEACH BLD",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "33905",
            "telephone_number": "239-690-1817",
            "fax_number": "239-690-1362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4394 PALM BEACH BLD",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339053446",
            "telephone_number": "239-690-1817",
            "fax_number": "239-690-1362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM BEACH MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VALERE",
        "authorized_official_first_name": "GERARD",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-690-1817",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "HCC5625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Milena Palenzuela, CCC/SLP
• Steven H Paletsky, MD
• Herbert Allen Pallas
• Palm Acupuncture, Inc
• Palm Beach Blvd Dental
• Palm Podiatry, LLC
• Adrian Padurean Palmer, M.D.
• Dayanna Atoi Palmer
• McKenzie Palmer
• Robert Carlton Palmer, M.D.

• Chiropractor in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Chiropractor 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.