NPIMap

Organization Active NPI

Palm Beach Health Center PLLC

  • General Practice Physician
  • Royal Palm Beach, FL
National Provider Identifier
1508495102
Registry record updated Apr 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
PALM BEACH HEALTH CENTER PLLC
Practice address
1011 N State Road 7 Ste D
Royal Palm Beach, FL 33411-5184
Phone
(561) 333-8353
Fax
(561) 333-3273
NPI assigned
Apr 6, 2020
Last updated
Apr 6, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2020

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

Authorized official

Name
Richard Cutler
Title
Cfo
Phone
(561) 333-8353

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

1011 N State Road 7 Ste D
Royal Palm Beach, FL 33411-5184

Mailing address

1011 N State Road 7 Ste D
Royal Palm Beach, FL 33411-5184
Phone (561) 333-8353

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200417001845 FL Part B Supplier - Clinic/Group Practice 7810327673 Receives reassigned benefits from 10 practitioners
Practice locations: Royal Palm Beach, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 10

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": "1586131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586131200000",
    "number": "1508495102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 N STATE ROAD 7 STE D",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334115184",
            "telephone_number": "561-333-8353",
            "fax_number": "561-333-3273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 N STATE ROAD 7 STE D",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334115184",
            "telephone_number": "561-333-8353",
            "fax_number": "561-333-3273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM BEACH HEALTH CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-06",
        "last_updated": "2020-04-06",
        "certification_date": "2020-04-06",
        "status": "A",
        "authorized_official_last_name": "CUTLER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "561-333-8353"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "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, 2020; 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.