Palm Springs Internal Medicine

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME47911 Issued in FL

Legal business name

PALM SPRINGS INTERNAL MEDICINE

Practice address

5053 S Congress Ave
Suite 202
Lake Worth, FL 33461-4706

Phone

(561) 439-4480

Fax

(561) 641-6626

NPI assigned

Oct 24, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Juanita Berman

Title

Office Manager

Phone

(561) 439-4480

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Manuel Rafael Bornia, MD

  • Internal Medicine Physician
  • Atlantis, FL
  • NPI 1073571063

  Specialist

  NPD

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355788800000",
    "number": "1851475016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5053 S CONGRESS AVE",
            "address_2": "SUITE 202",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334614706",
            "telephone_number": "561-439-4480",
            "fax_number": "561-641-6626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5053 S CONGRESS AVE",
            "address_2": "SUITE 202",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334614706",
            "telephone_number": "561-439-4480",
            "fax_number": "561-641-6626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM SPRINGS INTERNAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2012-12-18",
        "status": "A",
        "authorized_official_last_name": "BERMAN",
        "authorized_official_first_name": "JUANITA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "561-439-4480",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME47911",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "061482300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Palm Beach Therapy & Fitness Providers, Inc.
• Palm Beach Wellness Center LLC
• Palm Diagnostic Imaging Inc
• Palm Life Supportive Housing
• Palm Shades Adult Home Care ,Inc
• Palms Dental Care PLLC
• Steven Panavelil
• Dhruti Pandya, MD
• Matthew Walter Panzica, PT, DPT
• Paradyse Home Care LLC

• Specialist in Lake Worth, FL
• Providers in Lake Worth, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2012; 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.