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
- Doing business as
- 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
- Last updated
- Oct 12, 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 DirectoryNPI 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 (Medickass International Health)
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.