Active NPI
Primary Care Physicians of West Palm Beach, LLC
- Family Medicine Physician
- West Palm Beach, FL
National Provider Identifier
1548750193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- PRIMARY CARE PHYSICIANS OF WEST PALM BEACH, LLC
- Practice address
- 100 Century Blvd Ste 200
West Palm Beach, FL 33417-2262 - Phone
- (954) 983-9191
- Fax
- (954) 983-1152
- NPI assigned
- May 18, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Laura B Burke
- Title
- Credentialing Manager
- Phone
- (954) 563-4472
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
100 Century Blvd Ste 200
West Palm Beach, FL 33417-2262
Mailing address
2488 N University Dr
Pembroke Pines, FL 33024-3624
Phone (954) 983-9191
Other names 1
- Primary Care Physicians of West Palm Beach, LLC
National Provider Directory
National Provider DirectoryLocations
100 Century Blvd
Ste 200
West Palm Beach, FL 33417
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526601600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1539302400000",
"number": "1548750193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2488 N UNIVERSITY DR",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330243624",
"telephone_number": "954-983-9191",
"fax_number": "954-983-1152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 CENTURY BLVD STE 200",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334172262",
"telephone_number": "954-983-9191",
"fax_number": "954-983-1152"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRIMARY CARE PHYSICIANS OF WEST PALM BEACH, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-05-18",
"last_updated": "2018-10-12",
"status": "A",
"authorized_official_last_name": "BURKE",
"authorized_official_first_name": "LAURA",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "CREDENTIALING MANAGER",
"authorized_official_telephone_number": "954-563-4472"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Primary Care Physicians of West Palm Beach, LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in West Palm Beach, FL
- Marta M Prieto, M.S., LMHC
- Michael Arsenio Prieto, APRN
- Jennifer Noel Prigg, DO
- Primary and Transitional Care Service
- Primary Care MD LLC
- Primary Care Practitioners of West Palm Beach
- Primary Care Specialists of the Palm Beaches
- Prime Access Medical Group
- Prime Care Family Health Centers Inc
- Prime Healthcentral
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.