Organization Active NPI

Palm Pain Management, LLC

  • Pain Medicine (Anesthesiology) Physician
  • Jupiter, FL
National Provider Identifier
1427830744
Registry record updated Oct 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
PALM PAIN MANAGEMENT, LLC
Practice address
2055 Military TRL Ste 312
Jupiter, FL 33458-7816
Phone
(561) 972-8666
NPI assigned
Oct 20, 2023
Last updated
Oct 20, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2023

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

Authorized official

Name
Lawrence Deziel, MDNPI 1114984556
Title
MGR
Phone
(561) 262-4777

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X NU Primary

Addresses

Primary practice location

2055 Military TRL Ste 312
Jupiter, FL 33458-7816

Mailing address

9177 SE River Ter
Jupiter, FL 33469-1331
Phone (561) 262-4777

National Provider Directory

National Provider Directory

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": "1697760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697760000000",
    "number": "1427830744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9177 SE RIVER TER",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334691331",
            "telephone_number": "561-262-4777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 MILITARY TRL STE 312",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334587816",
            "telephone_number": "561-972-8666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM PAIN MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-20",
        "last_updated": "2023-10-20",
        "certification_date": "2023-10-20",
        "status": "A",
        "authorized_official_last_name": "DEZIEL",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "561-262-4777",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2023; 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.