Organization Active NPI

Geriatric Wellness LLC

  • Internal Medicine Physician
  • Delray Beach, FL
National Provider Identifier
1699251082
Registry record updated Jul 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
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

Updated by the provider on Jul 18, 2018

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.