Boynton Medical Group Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME91277 Issued in FL

Legal business name

BOYNTON MEDICAL GROUP INC

Doing business as

Amicus Medical Group

Practice address

1501 Corporate Dr
Boynton Beach, FL 33426-6600

Phone

(561) 369-4255

Fax

(561) 369-3254

NPI assigned

Oct 5, 2010

Last updated

Apr 1, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David R Rodriguez

Title

President

Phone

(954) 505-5000

Specialties & licenses 1

Addresses

Other names 1

• Amicus Medical Group Doing business as

Locations

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

{
    "created_epoch": "1286236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427846400000",
    "number": "1942519277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14201 W SUNRISE BLVD",
            "address_2": "SUITE 207",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333233207",
            "telephone_number": "954-505-5000",
            "fax_number": "954-838-9660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 CORPORATE DR",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334266600",
            "telephone_number": "561-369-4255",
            "fax_number": "561-369-3254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOYNTON MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-05",
        "last_updated": "2015-04-01",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-505-5000"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME91277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amicus Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Internal Medicine Physician in Boynton Beach, FL
• Providers in Boynton Beach, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2015; 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.