Active NPI
Kingsley Clinic of Florida LLC
- Internal Medicine Physician
- Boca Raton, FL
National Provider Identifier
1609450345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- KINGSLEY CLINIC OF FLORIDA LLC
- Practice address
- 5550 Glades Rd Ste 500
Boca Raton, FL 33431-7277 - Phone
- (530) 305-7637
- NPI assigned
- May 10, 2021
- Last updated
- Jan 31, 2024
- 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
- James Kingsley, MD
- Title
- Owner
- Phone
- (530) 305-7637
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary | ||
| Multi-Specialty Clinic/Center | 261QM1300X |
Addresses
Primary practice location
5550 Glades Rd Ste 500
Boca Raton, FL 33431-7277
Mailing address
33471 Biltmore Dr
Temecula, CA 92592-1849
Phone (530) 305-7637
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620604800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1706659200000",
"number": "1609450345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33471 BILTMORE DR",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925921849",
"telephone_number": "530-305-7637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5550 GLADES RD STE 500",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334317277",
"telephone_number": "530-305-7637"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KINGSLEY CLINIC OF FLORIDA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-05-10",
"last_updated": "2024-01-31",
"certification_date": "2024-01-31",
"status": "A",
"authorized_official_last_name": "KINGSLEY",
"authorized_official_first_name": "JAMES",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "530-305-7637",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.