Healthcare Provider Details

I. General information

NPI: 1235231465
Provider Name (Legal Business Name): WEST PALM BEACH PHYSICIAN GROUP INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/01/2006
Last Update Date: 09/14/2020
Certification Date: 09/14/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 MEADOWS RD
BOCA RATON FL
33486
US

IV. Provider business mailing address

PO BOX 635382
CINCINNATI OH
45263-5382
US

V. Phone/Fax

Practice location:
  • Phone: 561-395-7100
  • Fax:
Mailing address:
  • Phone: 800-424-3672
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. ROHIT UPPAL
Title or Position: PRESIDENT
Credential: MD
Phone: 800-424-3672