CMG LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME87200 Issued in FL

Legal business name

CMG LLC

Practice address

5608 Pga Blvd
Suite 208
Palm Beach Gardens, FL 33418-4121

Phone

(561) 613-4500

NPI assigned

Apr 12, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Carlos Gonzalez Jr., M.D.

Title

President

Phone

(561) 627-0107

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1271030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335398400000",
    "number": "1932425295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5608 PGA BLVD",
            "address_2": "SUITE 208",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334184121",
            "telephone_number": "561-613-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5608 PGA BLVD",
            "address_2": "SUITE 208",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334184121",
            "telephone_number": "561-613-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CMG LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-12",
        "last_updated": "2012-04-26",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-627-0107",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME87200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Palm Beach Gardens, FL
• Providers in Palm Beach Gardens, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 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.