Aaa Florida Clinic, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

AAA FLORIDA CLINIC, LLC

Doing business as

Pain Care of Palm Beach

Practice address

1441 Forest Hill Blvd Ste 200
West Palm Beach, FL 33406-6095

Phone

(561) 429-2181

Fax

(561) 429-2186

NPI assigned

Jul 22, 2010

Organization subpart

No

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

Authorized official

Name

Cony Gonzalez

Title

Office Manager

Phone

(561) 420-2181

Specialties & licenses 2

Addresses

Other names 1

• PAIN CARE OF PALM BEACH Doing business as

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

{
    "created_epoch": "1279756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333497600000",
    "number": "1629381397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 FOREST HILL BLVD STE 200",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334066095",
            "telephone_number": "561-429-2181",
            "fax_number": "561-429-2186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 FOREST HILL BLVD STE 200",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334066095",
            "telephone_number": "561-429-2181",
            "fax_number": "561-429-2186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AAA FLORIDA CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-22",
        "last_updated": "2012-04-04",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "CONY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "561-420-2181"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PAIN CARE OF PALM BEACH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Internal Medicine Physician in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2012; 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.