Palm Beach Botox

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

72476 Issued in FL

Legal business name

PALM BEACH BOTOX

Doing business as

Center for Neurology

Practice address

16244 S Military TRL Ste 150
Delray Beach, FL 33484-6505

Phone

(561) 638-8872

Fax

(561) 638-8874

NPI assigned

Jan 10, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Samuel Farhan Siddiqui, MDNPI 1902933211

Title

President

Phone

(561) 715-9800

Specialties & licenses 3

Addresses

Other names 1

• Center for Neurology Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Samuel Farhan Siddiqui, M.D.

  • Neurology Physician
  • Delray Beach, FL
  • NPI 1902933211
  NPD (past) Authorized official

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

{
    "created_epoch": "1515542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1801303920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16244 S MILITARY TRL STE 150",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334846505",
            "telephone_number": "561-638-8872",
            "fax_number": "561-638-8874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16244 S MILITARY TRL STE 150",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334846505",
            "telephone_number": "561-638-8872",
            "fax_number": "561-638-8874"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "815 N Main St",
            "address_purpose": "LOCATION",
            "city": "Kissimmee",
            "state": "FL",
            "postal_code": "347444565",
            "country_code": "US",
            "telephone_number": "407-518-0099",
            "fax_number": "561-638-8874",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PALM BEACH BOTOX",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-10",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "SIDDIQUI",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "FARHAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-715-9800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2081N0008X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Neuromuscular Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "72476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Neurology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Denisse Padron Palacio, PTA
• Maria De Los Angeles Pagan, LCSW
• Ciana Pagano
• Monica Theresa Pagliarulo-Wallace, CPM, LM
• Michael Benjamin Alexander Paisner, DDS
• Palm Beach Community Care, LLC
• Palm Beach Cosmetic Dentistry
• Palm Beach County Health Dept.
• Palm Beach Eye Center Inc
• Palm Beach Family Foot Care, P.a.

• Neurology Physician in Delray Beach, FL
• Providers in Delray Beach, FL by specialty
• Neurology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.