Organization Active NPI

Island Medical Care LLC

Doing business as Campazzi Concierge Medicine

  • Preventive Medicine/Occupational Environmental Medicine Physician
  • Palm Beach, FL
National Provider Identifier
1548280027
Registry record updated Feb 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preventive Medicine/Occupational Environmental Medicine PhysicianTaxonomy code 2083P0500X
License
ME 69252 Issued in FL
Legal business name
ISLAND MEDICAL CARE LLC
Doing business as
Campazzi Concierge Medicine
Practice address
440 Royal Palm Way Ste 100
Palm Beach, FL 33480-4179
Phone
(561) 440-8879
Fax
(561) 422-4033
NPI assigned
Jul 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2022

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

Authorized official

Name
Dr. Earl J. Campazzi Jr., M.D.
Title
President
Phone
(561) 440-8879

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preventive Medicine/Occupational Environmental Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2083P0500X ME 69252 FL Primary

Addresses

Primary practice location

440 Royal Palm Way Ste 100
Palm Beach, FL 33480-4179

Mailing address

440 Royal Palm Way Ste 100
Palm Beach, FL 33480-4179
Phone (561) 440-8879

Other names 1

  • Campazzi Concierge Medicine Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2140988Campazzi Concierge Medicine440 Royal Palm Way Ste 100, Palm Beach, FL 33480Certificate of waiverDec 4, 2027

National Provider Directory

National Provider Directory

Locations

251 Royal Palm Way
Ste 100A
Palm Beach, FL 33480
Phone (561) 207-1208

340 Royal Poinciana Way
Ste 6C
Palm Beach, FL 33480
Phone (561) 805-7331

340 Royal Poinciana Way
Ste 315
Palm Beach, FL 33480
Phone (561) 832-8300

440 Royal Palm Way
Ste 100
Palm Beach, FL 33480
Phone (561) 207-1208

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644969600000",
    "number": "1548280027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 ROYAL PALM WAY STE 100",
            "city": "PALM BEACH",
            "state": "FL",
            "postal_code": "334804179",
            "telephone_number": "561-440-8879",
            "fax_number": "561-422-4033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 ROYAL PALM WAY STE 100",
            "city": "PALM BEACH",
            "state": "FL",
            "postal_code": "334804179",
            "telephone_number": "561-440-8879",
            "fax_number": "561-422-4033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND MEDICAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A",
        "authorized_official_last_name": "CAMPAZZI",
        "authorized_official_first_name": "EARL",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-440-8879",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2083P0500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "FL",
            "license": "ME 69252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Campazzi Concierge Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.