Active NPI
Renato Dubois, M.D.
- Pediatric Cardiology Physician
- West Palm Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Cardiology Physician
- License
- ME-0055259
- Practice address
- 5325 Greenwood Ave
Suite 302
West Palm Beach, FL 33407-2452 - Phone
- (561) 844-9858
- Fax
- (561) 844-3436
- NPI assigned
- May 13, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Cardiology Physician | 2080P0202X | ME-0055259 | FL | Primary |
Addresses
Primary practice location
5325 Greenwood Ave
Suite 302
West Palm Beach, FL 33407-2452
Mailing address
5325 Greenwood Ave
Suite 302
West Palm Beach, FL 33407-2452
Phone (561) 844-9858
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 037646900 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME-0055259 | FL | MD | Pediatric Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Broward Hospital District | Current | Accepting new patients | |
| South Broward Hospital District | Pediatric Cardiology | Current | Accepting new patients |
| South Broward Hospital District | Past | Accepting new patients |
Locations
1803 S 25th St
Ste 5
Fort Pierce, FL 34947
Phone (772) 468-0664
1150 N 35th Ave
Ste 490
Hollywood, FL 33021
Phone (954) 265-3437
1901 SW 172nd Ave
Miramar, FL 33029
Phone (954) 276-5401
1850 SW Fountainview Blvd
Ste 201
Port St Lucie, FL 34986
Phone (561) 736-7313
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- Miramar, FL
- NPI 1043656614
-
- Pediatric Orthopaedic Surgery Physician
- Hollywood, FL
- NPI 1407865520
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214265600000",
"number": "1538110606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5325 GREENWOOD AVE",
"address_2": "SUITE 302",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334072452",
"telephone_number": "561-844-9858",
"fax_number": "561-844-3436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5325 GREENWOOD AVE",
"address_2": "SUITE 302",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334072452",
"telephone_number": "561-844-9858",
"fax_number": "561-844-3436"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUBOIS",
"first_name": "RENATO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-13",
"last_updated": "2008-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0202X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Cardiology",
"state": "FL",
"license": "ME-0055259",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "037646900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.