Palm Orthopedics & Physical Medicine LLC

Primary specialty

Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X

Legal business name

PALM ORTHOPEDICS & PHYSICAL MEDICINE LLC

Practice address

10801 SW Tradition SQ
Port Saint Lucie, FL 34987-1934

Phone

(772) 345-3933

NPI assigned

Jul 12, 2013

Organization subpart

No

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

Authorized official

Name

Dr. William Jensen, D.C.

Title

MGR

Phone

(772) 345-3933

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1373587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373587200000",
    "number": "1679914105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10521 SW VILLAGE CENTER DR STE 201A",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349871930",
            "telephone_number": "772-345-2642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10801 SW TRADITION SQ",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349871934",
            "telephone_number": "772-345-3933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM ORTHOPEDICS & PHYSICAL MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-12",
        "last_updated": "2013-07-12",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "772-345-3933",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cellestine Paige
• Miguel De Jesus Palacios Maldonado
• Palm Beach Alf LLC
• Palm Beach Home Health Care, Inc.
• Palm Beach Pathology, PA
• Palmer Chiropractic Center Inc
• Dayanera Palmer
• Kevin A Palmer, D.C.
• Mark Jon Pamer, D.O.
• Claudio Pantoja Ramgeet, RCSWI

• Orthopaedic Surgery of the Spine Physician in Port Saint Lucie, FL
• Providers in Port Saint Lucie, FL by specialty
• Orthopaedic Surgery of the Spine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2013; 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.