Active NPI
Geriatric Wellness LLC
- Internal Medicine Physician
- Delray Beach, FL
National Provider Identifier
1699251082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- GERIATRIC WELLNESS LLC
- Practice address
- 14555 Sims Rd
Delray Beach, FL 33484-8547 - Phone
- (561) 266-4970
- NPI assigned
- Jul 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
- Michael Block, MD
- Title
- Owner
- Phone
- (561) 499-8686
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
14555 Sims Rd
Delray Beach, FL 33484-8547
Mailing address
5162 Linton Blvd Ste 107
Delray Beach, FL 33484-6567
Other practice location 1
5859 Heritage Park Way
Delray Beach, FL 33484-8557
Phone (561) 266-4652
Other practice location 2
4760 S Jog Rd
Greenacres, FL 33467-5119
Phone (561) 379-1112
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531872000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1531872000000",
"number": "1699251082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5162 LINTON BLVD STE 107",
"city": "DELRAY BEACH",
"state": "FL",
"postal_code": "334846567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14555 SIMS RD",
"city": "DELRAY BEACH",
"state": "FL",
"postal_code": "334848547",
"telephone_number": "561-266-4970"
}
],
"practiceLocations": [
{
"address_1": "5859 Heritage Park Way",
"address_purpose": "LOCATION",
"city": "Delray Beach",
"state": "FL",
"postal_code": "334848557",
"country_code": "US",
"telephone_number": "561-266-4652",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4760 S Jog Rd",
"address_purpose": "LOCATION",
"city": "Greenacres",
"state": "FL",
"postal_code": "334675119",
"country_code": "US",
"telephone_number": "561-379-1112",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "GERIATRIC WELLNESS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-07-18",
"last_updated": "2018-07-18",
"status": "A",
"authorized_official_last_name": "BLOCK",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "561-499-8686",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Delray Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.