Physicians Care Plus of West Palm Beach, LLC

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

PHYSICIANS CARE PLUS OF WEST PALM BEACH, LLC

Practice address

5405 Okeechobee Blvd
303
West Palm Beach, FL 33417-4543

Phone

(561) 689-8686

Fax

(561) 689-8682

NPI assigned

Apr 25, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Jeff P Dudley

Title

Coo

Phone

(954) 318-6590

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1335312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335312000000",
    "number": "1871851048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5405 OKEECHOBEE BLVD",
            "address_2": "303",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334174543",
            "telephone_number": "561-689-8686",
            "fax_number": "561-689-8682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5405 OKEECHOBEE BLVD",
            "address_2": "303",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334174543",
            "telephone_number": "561-689-8686",
            "fax_number": "561-689-8682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS CARE PLUS OF WEST PALM BEACH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-25",
        "last_updated": "2012-04-25",
        "status": "A",
        "authorized_official_last_name": "DUDLEY",
        "authorized_official_first_name": "JEFF",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "954-318-6590",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.