Organization Active NPI

611 Medical LLC

  • Primary Care Clinic/Center
  • Royal Palm Beach, FL
National Provider Identifier
1396687935
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
611 MEDICAL LLC
Practice address
11081 Southern Blvd Ste 160
Royal Palm Beach, FL 33411-4253
Phone
(561) 906-1155
NPI assigned
Apr 6, 2026
Last updated
Apr 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2026

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

Authorized official

Name
George Hamilos
Title
Managing Partner
Phone
(561) 906-1155

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

11081 Southern Blvd Ste 160
Royal Palm Beach, FL 33411-4253

Mailing address

11081 Southern Blvd Ste 160
Royal Palm Beach, FL 33411-4253
Phone (561) 906-1155

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260530000088 FL Part B Supplier - Clinic/Group Practice 6103396148 Receives reassigned benefits from 1 practitioner
Practice locations: Royal Palm Beach, FL

National Provider Directory

National Provider Directory

Locations

11081 Southern Blvd
Ste 160
Royal Palm Beach, FL 33411
Phone (561) 753-0274

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1775433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775433600000",
    "number": "1396687935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11081 SOUTHERN BLVD STE 160",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334114253",
            "telephone_number": "561-906-1155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11081 SOUTHERN BLVD STE 160",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334114253",
            "telephone_number": "561-906-1155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "611 MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-06",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A",
        "authorized_official_last_name": "HAMILOS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "561-906-1155"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.