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NPI 1306201439 Active Internal Medicine

Quick Facts

NPI Number

1306201439

Type

Organization (NPI-2)

Status

Active

Enumeration Date

2015-12-16

Last Updated (NPPES)

2024-11-19

Primary Specialty / Taxonomy

Taxonomy	Internal Medicine
Taxonomy Code	`207R00000X`
License	ME121310 FL

Practice Address

515 N FLAGLER DR
SUITE P300
WEST PALM BEACH, FL 334014321

Phone: 561-425-8265

Mailing Address

6400 BOYNTON BEACH BLVD UNIT 741663
BOYNTON BEACH, FL 334743686

Data sourced live from the CMS NPPES NPI Registry (npiregistry.cms.hhs.gov) and cached locally. This is a public directory lookup, not a credentialing or verification service — confirm critical details directly with NPPES or the provider.