Internal Medicine of Palm Beach LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME99808 Issued in FL

Legal business name

INTERNAL MEDICINE OF PALM BEACH LLC

Practice address

3347 State Road 7
Suite 206
Wellington, FL 33449-8095

Phone

(561) 283-0381

Fax

(561) 434-3169

NPI assigned

Jul 27, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Mohammad Yaqub M, MD

Title

Director

Phone

(561) 283-0381

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1374883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374883200000",
    "number": "1750723045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3347 STATE ROAD 7",
            "address_2": "SUITE 206",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334498095",
            "telephone_number": "561-283-0381",
            "fax_number": "561-434-3169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3347 STATE ROAD 7",
            "address_2": "SUITE 206",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334498095",
            "telephone_number": "561-283-0381",
            "fax_number": "561-434-3169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL MEDICINE OF PALM BEACH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-27",
        "last_updated": "2013-07-27",
        "status": "A",
        "authorized_official_last_name": "M",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_middle_name": "YAQUB",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "561-283-0381",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME99808",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "280882000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Wellington, FL
• Providers in Wellington, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.