Organization Active NPI

Lifestyle Medicine Specialists of Palm Beach LLC

  • Public Health & General Preventive Medicine Physician
  • Wellington, FL
National Provider Identifier
1821412909
Registry record updated Jan 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X
Legal business name
LIFESTYLE MEDICINE SPECIALISTS OF PALM BEACH LLC
Practice address
3319 State Road 7
Suite 212
Wellington, FL 33449-8094
Phone
(561) 318-3727
Fax
(561) 828-3254
NPI assigned
Feb 10, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2023

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

Authorized official

Name
Dr. Claudia Maria Giovanelli Porrata, M.D.
Title
Owner
Phone
(561) 318-3727

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health & General Preventive Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2083P0901X Primary

Addresses

Primary practice location

3319 State Road 7
Suite 212
Wellington, FL 33449-8094

Mailing address

3319 S State Road 7 Ste 212
Wellington, FL 33449-8146
Phone (561) 318-3727

National Provider Directory

National Provider Directory

Locations

3319 S State Road 7
Ste 212
Wellington, FL 33449
Phone (561) 318-3727

NPI Registry JSON

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

{
    "created_epoch": "1391990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673308800000",
    "number": "1821412909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3319 S STATE ROAD 7 STE 212",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334498146",
            "telephone_number": "561-318-3727",
            "fax_number": "561-828-3254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3319 STATE ROAD 7",
            "address_2": "SUITE 212",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334498094",
            "telephone_number": "561-318-3727",
            "fax_number": "561-828-3254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESTYLE MEDICINE SPECIALISTS OF PALM BEACH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-10",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A",
        "authorized_official_last_name": "GIOVANELLI PORRATA",
        "authorized_official_first_name": "CLAUDIA",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-318-3727",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellington, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.