Organization Active NPI

Patriots Services LLC

Doing business as Florida Vitality

  • Obesity Medicine (Preventive Medicine) Physician
  • West Palm Beach, FL
National Provider Identifier
1760257265
Registry record updated Nov 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obesity Medicine (Preventive Medicine) PhysicianTaxonomy code 2083B0002X
Legal business name
PATRIOTS SERVICES LLC
Doing business as
Florida Vitality
West Palm Beach Weight Loss
Practice address
2540 Metrocentre Blvd Ste 1
West Palm Beach, FL 33407-3137
Phone
(978) 828-1555
NPI assigned
Nov 15, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2023

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

Authorized official

Name
Michael Ray
Title
Owner
Phone
(561) 867-0001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obesity Medicine (Preventive Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2083B0002X Primary

Addresses

Primary practice location

2540 Metrocentre Blvd Ste 1
West Palm Beach, FL 33407-3137

Mailing address

2540 Metrocentre Blvd Ste 1
West Palm Beach, FL 33407-3137
Phone (978) 828-1555

Other names 2

  • Florida Vitality Doing business as
  • West Palm Beach Weight Loss Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1700006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700006400000",
    "number": "1760257265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2540 METROCENTRE BLVD STE 1",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334073137",
            "telephone_number": "978-828-1555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2540 METROCENTRE BLVD STE 1",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334073137",
            "telephone_number": "978-828-1555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRIOTS SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-15",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A",
        "authorized_official_last_name": "RAY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-867-0001"
    },
    "taxonomies": [
        {
            "code": "2083B0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Obesity Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Florida Vitality",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "West Palm Beach Weight Loss",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 15, 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.