West Palm Medical Spa

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

MA70551 Issued in FL

Legal business name

WEST PALM MEDICAL SPA

Practice address

6383 10TH Ave N
Ste C
Greenacres, FL 33463-1689

Phone

(561) 460-3058

NPI assigned

Mar 14, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Alexander Justo, MD

Title

Owner

Phone

(561) 460-3058

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1363219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363219200000",
    "number": "1821339953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6383 10TH AVE N STE C",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "33463",
            "telephone_number": "561-460-3058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6383 10TH AVE N",
            "address_2": "STE C",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334631689",
            "telephone_number": "561-460-3058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST PALM MEDICAL SPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-14",
        "last_updated": "2013-03-14",
        "status": "A",
        "authorized_official_last_name": "JUSTO",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-460-3058",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "MA70551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapy Clinic/Center in Greenacres, FL
• Providers in Greenacres, FL by specialty
• Physical Therapy Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.