PGL Medical Group, PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME104698 Issued in FL

Legal business name

PGL MEDICAL GROUP, PA

Practice address

108 Intracoastal Pointe Dr
Suite 100
Jupiter, FL 33477-5036

Phone

(561) 575-3050

Fax

(561) 575-3153

NPI assigned

Jun 24, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Glendese C Miller, M.D.

Title

Vice President

Phone

(561) 797-7653

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Peter Owen Lyn, MD

  • Internal Medicine Physician
  • Jupiter, FL
  • NPI 1033219076
  NPD

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

{
    "created_epoch": "1340496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340496000000",
    "number": "1518220565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 INTRACOASTAL POINTE DR",
            "address_2": "SUITE 100",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334775036",
            "telephone_number": "561-575-3050",
            "fax_number": "561-575-3153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 INTRACOASTAL POINTE DR",
            "address_2": "SUITE 100",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334775036",
            "telephone_number": "561-575-3050",
            "fax_number": "561-575-3153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PGL MEDICAL GROUP, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-24",
        "last_updated": "2012-06-24",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "GLENDESE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "561-797-7653",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME104698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Personal Choice Family Practice Inc.
• Peter a Vitulli Jr D O P a
• Melissa Peters, DSC, MHNE
• L Pettersen
• Sandra Lee Pezzino, COTA
• Pharmacy at Abacoa Inc
• Pharmacy at Abacoa, Inc.
• Pharmacy Distributor Services, Inc,.
• Jean L Philbin
• Randie Lee Phillips, MS-SLP

• Internal Medicine Physician in Jupiter, FL
• Providers in Jupiter, 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 Jun 24, 2012; 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.