Palm Beach Medical Practitioners LLC

Primary specialty

ContractorTaxonomy code 171W00000X

Legal business name

PALM BEACH MEDICAL PRACTITIONERS LLC

Practice address

1501 Presidential Way Ste 20
West Palm Beach, FL 33401-1852

Phone

(561) 616-3939

NPI assigned

Mar 10, 2015

Reactivated

Mar 30, 2017

Last updated

Apr 26, 2021By 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. Nelson Posada

Title

Andimistrator

Phone

(561) 329-5019

Specialties & licenses 1

Addresses

Locations

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.

• Stephanie Pantoja, ARNP

  • Family Nurse Practitioner
  • Wellington, FL
  • NPI 1427453554
  NPD (past)

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

{
    "created_epoch": "1425945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619395200000",
    "number": "1407249881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 CLEMATIS ST",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334015312",
            "telephone_number": "561-329-5019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 PRESIDENTIAL WAY STE 20",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334011852",
            "telephone_number": "561-616-3939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM BEACH MEDICAL PRACTITIONERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-10",
        "last_updated": "2021-04-26",
        "certification_date": "2021-04-26",
        "deactivation_date": "2017-03-14",
        "reactivation_date": "2017-03-30",
        "status": "A",
        "authorized_official_last_name": "POSADA",
        "authorized_official_first_name": "NELSON",
        "authorized_official_title_or_position": "ANDIMISTRATOR",
        "authorized_official_telephone_number": "561-329-5019",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Palm Beach Medical and Wellness
• Palm Beach Medical Clinic LLC
• Palm Beach Medical Group LLC
• Palm Beach Medical Institute PLLC
• Palm Beach Medical Partners LLC
• Palm Beach Mobile Sonography Inc.
• Palm Beach Neurology
• Palm Beach Neurology
• Palm Beach Neurology
• Palm Beach Neurology

• Contractor in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Contractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2021; 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.