Gospa Medical Group, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

GOSPA MEDICAL GROUP, LLC

Practice address

3452 W Boynton Beach Blvd
Ste. 5
Boynton Beach, FL 33436-4633

Phone

(561) 299-0910

NPI assigned

Feb 25, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Jacqueline Farber

Title

MGRM

Phone

(561) 299-0910

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1361750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364342400000",
    "number": "1376883587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3452 W BOYNTON BEACH BLVD",
            "address_2": "STE. 5",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334364633",
            "telephone_number": "561-299-0910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3452 W BOYNTON BEACH BLVD",
            "address_2": "STE. 5",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334364633",
            "telephone_number": "561-299-0910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOSPA MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-25",
        "last_updated": "2013-03-27",
        "status": "A",
        "authorized_official_last_name": "FARBER",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "MGRM",
        "authorized_official_telephone_number": "561-299-0910",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George Gordon
• Leigh Ann Gordon, PT
• Harvey Joel Gorfinkel, MD
• Baruch David Gorman, M.D.
• Diana Gorokhovsky, D.O.
• Sarah Gostich, DPM
• Ellis J Gottesfeld, MD
• Adam Neal Gottlieb
• Elizabeth A Gottlieb, ARNP
• Shara Goudreau, LMHC

• Internal Medicine Physician in Boynton Beach, FL
• Providers in Boynton Beach, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2013; 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.