PALM BEACH DIAGNOSTICS HOLDING, LLC (NPI# 1831503804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831503804 |
| Entity Type | Organization |
| Organization Name | PALM BEACH DIAGNOSTICS HOLDING, LLC |
| Other Organization Name | ADVANCED DIAGNOSTIC GROUP |
| Practice Address |
4215 Burns Rd Suite 220 Palm Beach Gardens FL 33410-4654 |
| Mailing Address |
607 W Dr Martin Luther King Jr Blvd Suite 103 Tampa FL 33603-3453 |
| Practice Telephone | 8132383833 |
| Practice Fax Number | 8138496349 |
| Mailing Telephone | 8132383833 |
| Enumeration Date | 2014-06-17 |
| Last Update Date | 2014-06-17 |
| Authorized Official Name | MRS. TIFFANY KEMP (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 8133251389 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
FL | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| ADVANCED DIAGNOSTIC GROUP | Doing Business As Name - Organization |
| Street Address |
4215 BURNS RD SUITE 220 |
| City | PALM BEACH GARDENS |
| State | FL |
| Zip Code | 33410-4654 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184796245 | Palm Beach Orthopaedic Institute Pa | Orthopaedic Surgery | 4215 Burns Rd, 100, Palm Beach Gardens, FL 33410-4627 | 2006-11-14 |
| 1770196214 | Alaina Curry | Physical Therapist | 4215 Burns Rd, Palm Beach Gardens, FL 33410-4625 | 2020-08-25 |
| 1043855091 | Max Piasecki | Physical Medicine & Rehabilitation | 4215 Burns Rd, Palm Beach Gardens, FL 33410-4625 | 2019-11-14 |
| 1669017786 | Jon Saul | Physical Therapist | 4215 Burns Rd, Palm Beach Gardens, FL 33410-4625 | 2019-11-13 |
| 1851762520 | Rachel Olsheski | Physical Therapist | 4215 Burns Rd, Suite 280, Palm Beach Gardens, FL 33410-4625 | 2015-10-07 |
| 1699957506 | Malgorzata Fladie | Nurse Practitioner | 4215 Burns Rd, Suite 100, Palm Beach Gardens, FL 33410-4625 | 2007-12-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811501026 | Vicky Pauline Salazar | Registered Nurse | 11501 N Military Trail, Palm Beach Gardens, FL 33410 | 2020-09-04 |
| 1417596388 | Chavon E Mayer | Doula | 149 Winter Park Lane, West Palm Beach, FL 33410 | 2019-12-24 |
| 1639711617 | Diamond Physical Therapy, LLC | Physical Therapist | 4025 Johnson Dairy Road, Palm Beach Gardens, FL 33410 | 2019-10-11 |
| 1689151714 | Caroline Devries Hesterman | Occupational Therapist | 9840 Alternate A1a Ste 402, Palm Beach Gardens, FL 33410 | 2018-07-21 |
| 1366937088 | Krystal Maya Khemkaran | Behavior Technician | 2979 Pga Blvd # 200, Palm Beach Gardens, FL 33410 | 2018-06-25 |
| 1548762552 | Arsenia Pomperada Sabusap | Nurse Practitioner | Grace Medical Center of Florida, 4212 Northlake Blvd., Palm Beach Gardens, FL 33410 | 2018-03-06 |
| 1538668199 | Alan Seidenfeld | Dentist | 7305 N Military Trl 3a-200, Riviera Beach, FL 33410 | 2018-02-08 |
| 1407361454 | Nuvista Living At Jupiter, LLC | Skilled Nursing Facility | 338 Pioneer Road, Jupiter, FL 33410 | 2017-12-12 |
| 1083125728 | Tom Long Biddle-xing | Nurse Practitioner | 3345 Burns Rd Ste 206, Palm Beach Gardens, FL 33410 | 2017-10-20 |
| 1801315189 | Kasie Sidman | Physical Therapist | 3929 Bluebell St, Palm Beach Gardens, FL 33410 | 2017-09-18 |
| Find all providers in zip 33410 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063950343 | Spinal Motion Diagnostics Fort Lauderdale LLC | Clinic/Center | 8435 Man O War Road, Palm Beach Gardens, FL 33418 | 2017-02-07 |
| 1003350406 | Spinal Motion Diagnostics | Clinic/Center | 10887 N Military Trl, Suite 2, Palm Beach Gardens, FL 33410-6528 | 2016-12-05 |
| 1790113363 | Independent Imaging, LLC | Clinic/Center | 3385 Burns Rd, Suite 109, Palm Beach Gardens, FL 33410-4328 | 2013-10-17 |
| 1487927810 | Nicklaus Children's Hospital Palm Beach Gardens Outpatient Center | Clinic/Center | 11310 Legacy Ave, Palm Beach Gardens, FL 33410-3658 | 2012-02-15 |
| 1518159482 | Harbour Diagnostic Imaging | Clinic/Center | 2401 Pga Blvd, Suite 130, Palm Beach Gardens, FL 33410 | 2007-08-15 |
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| 1235770686 | Clermont Radiology LLC | Clinic/Center | 18 Ne 1st Ave, Ocala, FL 34470-6658 | 2019-10-07 |
| 1609422146 | Dis of Tampa Bay Inc | Clinic/Center | 3635 W Waters Ave, Tampa, FL 33614-2783 | 2019-08-12 |
| 1245891209 | Ohri, LLC | Clinic/Center | 392 Rinehart Rd., Suite 1300, Lake Mary, FL 32746 | 2019-06-21 |
| 1417518481 | Ohri, LLC | Clinic/Center | 5151 Winter Garden Vineland Road., Suite 104, Windermere, FL 34786 | 2019-06-21 |
| 1093273971 | Alfa Diagnostic LLC | Clinic/Center | 21355 E Dixie Hwy Ste 107, Aventura, FL 33180-1239 | 2019-03-09 |
| Find all providers with the same taxonomy | ||||
| City | PALM BEACH GARDENS |
| Zip Code | 33410 |
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| 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.