Healthcare Provider Details

I. General information

NPI: 1891604609
Provider Name (Legal Business Name): PODIATRY CONCIERGE OF PALM BEACH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/05/2026
Last Update Date: 09/05/2026
Certification Date: 09/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3319 S FEDERAL HWY APT E
BOYNTON BEACH FL
33435-8811
US

IV. Provider business mailing address

3319 S FEDERAL HWY APT E
BOYNTON BEACH FL
33435-8811
US

V. Phone/Fax

Practice location:
  • Phone: 561-504-0235
  • Fax:
Mailing address:
  • Phone: 561-504-0235
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number
License Number State

VIII. Authorized Official

Name: DR. TYLER PRAGER
Title or Position: OWNER/PODIATRIST
Credential: DPM
Phone: 561-504-0235