West Palm Medical Group, Inc

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

WEST PALM MEDICAL GROUP, INC

Practice address

1840 W 49TH St
Suite 520
Hialeah, FL 33012-2942

Phone

(305) 879-2625

NPI assigned

Aug 27, 2008

Last updated

Aug 27, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Cesar L Cordovi Fernandez

Title

President

Phone

(305) 879-2625

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1219795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219795200000",
    "number": "1548417942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 127037",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330121617",
            "telephone_number": "305-879-2625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 W 49TH ST",
            "address_2": "SUITE 520",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330122942",
            "telephone_number": "305-879-2625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST PALM MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-27",
        "last_updated": "2008-08-27",
        "status": "A",
        "authorized_official_last_name": "CORDOVI FERNANDEZ",
        "authorized_official_first_name": "CESAR",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-879-2625"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2008; 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.