PRIMARY CARE SPECIALISTS OF THE PALM BEACHES LLC (NPI# 1730653999) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730653999 |
| Entity Type | Organization |
| Organization Name | PRIMARY CARE SPECIALISTS OF THE PALM BEACHES LLC |
| Other Organization Name | PCSPB GREENACRES |
| Practice Address |
6766 Forest Hill Blvd Greenacres FL 33413-3321 |
| Mailing Address |
6101 Blue Lagoon Dr Ste 400 Miami FL 33126-2051 |
| Practice Telephone | 5619660015 |
| Practice Fax Number | 5619663911 |
| Mailing Telephone | 3055002000 |
| Enumeration Date | 2019-01-21 |
| Last Update Date | 2020-02-03 |
| Authorized Official Name | GEMMA ROSELLO (VP) |
| Authorized Official Telephone | 3055002000 |
| Is Organization Subpart | Y |
| Parent Organization Name | PRIMARY CARE SPECIALISTS OF THE PALM BEACHES LLC |
| Parent Organization TIN |
|
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Conviva Care Center | Doing Business As Name - Organization |
| PCSPB Greenacres | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720542731 | Primary Care Specialists of The Palm Beaches LLC | Internal Medicine | 1651 S Congress Ave, West Palm Beach, FL 33406-5903 | 2019-01-23 |
| 1811461072 | Primary Care Specialists of The Palm Beaches LLC | Family Medicine | 7031 Washington Ave, Lantana, FL 33462-5201 | 2019-01-21 |
| 1922572189 | Primary Care Specialists of The Palm Beaches LLC | Internal Medicine | 6215 S Dixie Hwy, West Palm Beach, FL 33405-4327 | 2019-01-21 |
| 1265614754 | Primary Care Specialists of The Palm Beaches LLC | Internal Medicine | 6101 Blue Lagoon Dr Ste 400, Miami, FL 33126-2051 | 2007-11-27 |
| Street Address |
6766 FOREST HILL BLVD |
| City | GREENACRES |
| State | FL |
| Zip Code | 33413-3321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659362051 | Orlando A Cuadra | Internal Medicine | 6766 Forest Hill Blvd, Greenacres, FL 33413-3321 | 2005-11-03 |
| 1912071390 | Dennis Eugenio Salazar | Internal Medicine | 6766 Forest Hill Blvd, Greenacres, FL 33413-3321 | 2006-11-20 |
| 1851484141 | Radiology Consultants of Palm Beach | Clinic/Center | 6766 Forest Hill Blvd, Greenacres, FL 33413-3321 | 2006-10-02 |
| 1912954355 | Glenroy Wong | Internal Medicine | 6766 Forest Hill Blvd, Greenacres, FL 33413-3321 | 2006-05-30 |
| 1679527220 | Ellen Williamson | Nurse Practitioner | 6766 Forest Hill Blvd, Greenacres, FL 33413-3321 | 2006-05-19 |
| 1164495768 | Christine Familia | General Practice | 6766 Forest Hill Blvd, Greenacres, FL 33413-3321 | 2006-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790287282 | Ellicia Brown | Behavior Technician | 5826 Gypsum Place, West Palm Beach, FL 33413 | 2018-03-01 |
| 1417499492 | Francesca Derius | Nurse Practitioner | 5730 Souchak Dr, West Palm Beach, FL 33413 | 2016-11-08 |
| 1184084170 | Yokavi Cruz Marrero | Technician, Other | 1015 Waterway Village Ct, Greenacres, FL 33413 | 2016-03-03 |
| 1952559957 | Trans America Live Solutions,inc. | Family Medicine | 6742 Forest Hill Blvd, #215, West Palm Beach, FL 33413 | 2008-09-03 |
| 1235331810 | John P Ogrady Jr. | Dentist | 6772 Forest Hill Blvd, Greenacres, FL 33413 | 2007-06-05 |
| 1235623901 | Sharpe Concierge Healthcare LLC | Nursing Care | 302 Harbour Pointe Way, Greenacres, FL 33413 | 2018-06-18 |
| 1881119121 | Catherine Blanco | Pharmacist | 6591 Forest Hill Blvd, Greenacres, FL 33413 | 2017-08-08 |
| 1699290882 | Claire Llanura | Nurse Practitioner | 852 Quartz Ter, West Palm Beach, FL 33413 | 2017-08-08 |
| 1750696944 | Galaxy Meds, Inc. | Pharmacy | 6742 Forest Hill Blvd, 272, West Palm Beach, FL 33413 | 2010-08-11 |
| 1508068198 | Donald J Smarinsky | Dentist | 6772 Forest Hill Blvd, Greenacres, FL 33413 | 2007-06-05 |
| Find all providers in zip 33413 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205086063 | Lake Worth Medical Pa | Internal Medicine | 2938 Jog Rd, Greenacres, FL 33467-2002 | 2008-09-29 |
| 1346433737 | Gina Joseph | Internal Medicine | 4849 Lake Wroth Road, Greenacres, FL 33463 | 2007-08-20 |
| 1346315348 | David Gonzalez | Internal Medicine | 5037 Lake Worth Rd, Greenacres, FL 33463-3348 | 2006-11-22 |
| 1588762140 | Jason M Strong | Internal Medicine | 6151 Lake Worth Rd, Greenacres, FL 33463-3074 | 2006-09-20 |
| 1659382414 | Beatrice Deshommes | Internal Medicine | 4998 10th Ave N, Greenacres, FL 33463 | 2006-08-10 |
| 1326080938 | Mohammad T Javed Md Pa | Internal Medicine | 6447 Lake Worth Rd, Greenacres, FL 33463-3007 | 2006-06-11 |
| 1861447385 | Negar Seddiqi Mohamed | Internal Medicine | 3345 Jog Rd, Greenacres, FL 33467-2010 | 2006-05-23 |
| 1265416754 | Mil-lake Healthcare Center, Inc. | Internal Medicine | 4849 Lake Worth Road, Greenacres, FL 33463 | 2005-11-30 |
| 1659362051 | Orlando A Cuadra | Internal Medicine | 6766 Forest Hill Blvd, Greenacres, FL 33413-3321 | 2005-11-03 |
| 1922620210 | David Abellard, Md, Pa | Internal Medicine | 4849 Lake Worth Road, Suite 201, Greenacres, FL 33463 | 2020-05-11 |
| Find all providers in GREENACRES | ||||
| City | GREENACRES |
| Zip Code | 33413 |
Please comment or provide details below to improve the information on PRIMARY CARE SPECIALISTS OF THE PALM BEACHES LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.