Organization Active NPI

FL Med, PL

  • Diagnostic Radiology Physician
  • Palm Beach Gardens, FL
National Provider Identifier
1710226485
Registry record updated Jan 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME82360 Issued in FL
Legal business name
FL MED, PL
Practice address
3345 Burns Rd
Suite 105C
Palm Beach Gardens, FL 33410-4324
Phone
(954) 629-2188
NPI assigned
Jan 31, 2013
Last updated
Jan 31, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2013

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

Authorized official

Name
Brock Lovelace
Title
Manager
Phone
(954) 629-2188

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X ME82360 FL Primary

Addresses

Primary practice location

3345 Burns Rd
Suite 105C
Palm Beach Gardens, FL 33410-4324

Mailing address

3345 Burns Rd
Suite 105C
Palm Beach Gardens, FL 33410-4324

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1359590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359590400000",
    "number": "1710226485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3345 BURNS RD",
            "address_2": "SUITE 105C",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3345 BURNS RD",
            "address_2": "SUITE 105C",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104324",
            "telephone_number": "954-629-2188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FL MED, PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-31",
        "last_updated": "2013-01-31",
        "status": "A",
        "authorized_official_last_name": "LOVELACE",
        "authorized_official_first_name": "BROCK",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "954-629-2188"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME82360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.