Organization Active NPI

Centimed Primary Care, Limited Liability Company

  • Internal Medicine Physician
  • West Palm Beach, FL
National Provider Identifier
1932546793
Registry record updated Jun 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME84701 Issued in FL
Legal business name
CENTIMED PRIMARY CARE, LIMITED LIABILITY COMPANY
Practice address
1411 N Flagler Dr
Suite 9000
West Palm Beach, FL 33401-3404
Phone
(561) 331-8133
Fax
(561) 331-8135
NPI assigned
Jun 3, 2013
Last updated
Jun 3, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2013

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

Authorized official

Name
Dr. David Russell Feldman, MD
Title
Managing Member
Phone
(561) 351-0776

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME84701 FL Primary

Addresses

Primary practice location

1411 N Flagler Dr
Suite 9000
West Palm Beach, FL 33401-3404

Mailing address

1411 N Flagler Dr
Suite 9000
West Palm Beach, FL 33401-3404
Phone (561) 331-8133

Other identifiers 1

IdentifierTypeStateIssuer
264871701MedicaidFL

National Provider Directory

National Provider Directory

Locations

1411 N Flagler Dr
Ste 900
West Palm Beach, FL 33401
Phone (561) 331-8133

NPI Registry JSON

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

{
    "created_epoch": "1370217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370217600000",
    "number": "1932546793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 N FLAGLER DR",
            "address_2": "SUITE 9000",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334013404",
            "telephone_number": "561-331-8133",
            "fax_number": "561-331-8135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 N FLAGLER DR",
            "address_2": "SUITE 9000",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334013404",
            "telephone_number": "561-331-8133",
            "fax_number": "561-331-8135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTIMED PRIMARY CARE, LIMITED LIABILITY COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-03",
        "last_updated": "2013-06-03",
        "status": "A",
        "authorized_official_last_name": "FELDMAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "RUSSELL",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "561-351-0776",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME84701",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "264871701",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.