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NPI Code Detail

MEDICARE: PALM BEACH PEDIATRICS, LLC

MEDICARE: PALM BEACH PEDIATRICS, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician

General Provider Information

NPI Number : 1144165218
Entity Type Code : Organization
Provider Name (Legal Business Name) : PALM BEACH PEDIATRICS, LLC
Provider Business Mailing Address
First Line : 2000 PALM BEACH LAKES BLVD STE 901
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33409-6506
Country : US
Telephone Number : 561-509-5009
Fax Number :
Provider Business Practice Location Address
First Line : 6975 TAFT ST
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33024-3801
Country : US
Telephone Number : 561-509-5009
Fax Number :
Authorized Official
Title or Position : PROJECT MANAGER
Name : ALEXANDRA GRAY
Credential :
Telephone Number : 561-509-5009
Provider Enumeration Date : 04/23/2026
Last Update Date : 04/23/2026

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Directions to “PALM BEACH PEDIATRICS, LLC ” Practice Location

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