Organization Active NPI

Holistic Internal Medicine of the Palm Beaches

  • Internal Medicine Physician
  • West Palm Beach, FL
National Provider Identifier
1730887811
Registry record updated Feb 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
HOLISTIC INTERNAL MEDICINE OF THE PALM BEACHES
Practice address
1400 Village Blvd
West Palm Beach, FL 33409-2842
Phone
(843) 621-0799
NPI assigned
Feb 20, 2023
Last updated
Feb 20, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2023

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

Authorized official

Name
Emmanuel Quaye, MD
Title
Owner
Phone
(843) 621-0799

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

1400 Village Blvd
West Palm Beach, FL 33409-2842

Mailing address

504 Segars Mill Rd
Hartsville, SC 29550-8070
Phone (843) 621-0799

National Provider Directory

National Provider Directory

Locations

1400 Village Blvd
West Palm Beach, FL 33409
Phone (843) 621-0799

NPI Registry JSON

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

{
    "created_epoch": "1676851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676851200000",
    "number": "1730887811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 SEGARS MILL RD",
            "city": "HARTSVILLE",
            "state": "SC",
            "postal_code": "295508070",
            "telephone_number": "843-621-0799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 VILLAGE BLVD",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334092842",
            "telephone_number": "843-621-0799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC INTERNAL MEDICINE OF THE PALM BEACHES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-20",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-18",
        "status": "A",
        "authorized_official_last_name": "QUAYE",
        "authorized_official_first_name": "EMMANUEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-621-0799",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2023; 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.