Palm Beach Medicine LLC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

PALM BEACH MEDICINE LLC

Practice address

3319 State Road 7
Suite 207
Wellington, FL 33449-8094

Phone

(561) 753-1101

Fax

(561) 753-1105

NPI assigned

Jul 10, 2013

Last updated

Jul 10, 2013By 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

Damaris Perez

Title

Owner

Phone

(561) 753-1101

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1373414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373414400000",
    "number": "1942641667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11101 S CROWN WAY",
            "address_2": "SUITE 1",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334148792",
            "telephone_number": "561-795-9150",
            "fax_number": "561-798-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3319 STATE ROAD 7",
            "address_2": "SUITE 207",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334498094",
            "telephone_number": "561-753-1101",
            "fax_number": "561-753-1105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM BEACH MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-10",
        "last_updated": "2013-07-10",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "DAMARIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-753-1101"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Palm Beach Surgery Center LLC

• Gastroenterology Physician in Wellington, FL
• Providers in Wellington, FL by specialty
• Gastroenterology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.