NPIMap

Organization Active NPI

West Palm Beach Family Doctors, Inc

  • Family Medicine Physician
  • West Palm Beach, FL
National Provider Identifier
1821071366
Registry record updated May 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
WEST PALM BEACH FAMILY DOCTORS, INC
Practice address
2500 Metrocentre Blvd
Suite 7
West Palm Beach, FL 33407-3107
Phone
(561) 434-5678
Fax
(561) 964-9829
NPI assigned
Nov 29, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2015

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

Authorized official

Name
Mr. Dana P Richard, DO
Title
President
Phone
(561) 434-5678

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X FL Primary

Addresses

Primary practice location

2500 Metrocentre Blvd
Suite 7
West Palm Beach, FL 33407-3107

Mailing address

2500 Metrocentre Blvd
Suite 1
West Palm Beach, FL 33407-3107
Phone (561) 434-5678

National Provider Directory

National Provider Directory

Locations

8132 Okeechobee Blvd
West Palm Beach, FL 33411
Phone (561) 683-3230

NPI Registry JSON

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

{
    "created_epoch": "1133222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431648000000",
    "number": "1821071366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 METROCENTRE BLVD",
            "address_2": "SUITE 1",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334073107",
            "telephone_number": "561-434-5678",
            "fax_number": "561-964-9829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 METROCENTRE BLVD",
            "address_2": "SUITE 7",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334073107",
            "telephone_number": "561-434-5678",
            "fax_number": "561-964-9829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST PALM BEACH FAMILY DOCTORS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-29",
        "last_updated": "2015-05-15",
        "status": "A",
        "authorized_official_last_name": "RICHARD",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-434-5678",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "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 May 15, 2015; 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.