Active NPI
Medatlantic Physicians, P.a.
- Internal Medicine Physician
- Lake Worth, FL
National Provider Identifier
1740684257
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- MEDATLANTIC PHYSICIANS, P.A.
- Practice address
- 400 South Dixie Highway
Suite 12
Lake Worth, FL 33460 - Phone
- (561) 568-1272
- Fax
- (561) 345-3521
- NPI assigned
- Oct 13, 2014
- 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
- Dr. Adriene Miller, D.O.
- Title
- President
- Phone
- (561) 568-1272
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
400 South Dixie Highway
Suite 12
Lake Worth, FL 33460
Mailing address
400 South Dixie Highway
Suite 12
Lake Worth, FL 33460
Phone (561) 568-1272
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008044209 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
400 S Dixie Hwy
Ste 12
Lake Worth, FL 33460
Phone (561) 568-1272
325 S Dixie Hwy
Ste 1
Lake Worth Beach, FL 33460
Phone (561) 568-1272
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Medical Physician Assistant
- North Miami Beach, FL
- NPI 1689729733
-
- Family Nurse Practitioner
- Loxahatchee, FL
- NPI 1124368279
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413158400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1413158400000",
"number": "1740684257",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 SOUTH DIXIE HIGHWAY",
"address_2": "SUITE 12",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "33460",
"telephone_number": "561-568-1272",
"fax_number": "561-345-3521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 SOUTH DIXIE HIGHWAY",
"address_2": "SUITE 12",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "33460",
"telephone_number": "561-568-1272",
"fax_number": "561-345-3521"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDATLANTIC PHYSICIANS, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2014-10-13",
"last_updated": "2014-10-13",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "ADRIENE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "561-568-1272",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "008044209",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lake Worth, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.