Healthcare Provider Details

I. General information

NPI: 1932023694
Provider Name (Legal Business Name): NATHANIEL D KWOK MD LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3401 PGA BLVD STE 440
PALM BEACH GARDENS FL
33410-2825
US

IV. Provider business mailing address

3401 PGA BLVD STE 440
PALM BEACH GARDENS FL
33410-2825
US

V. Phone/Fax

Practice location:
  • Phone: 561-406-4469
  • Fax: 561-437-8255
Mailing address:
  • Phone: 561-406-4469
  • Fax: 561-437-8255

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. NATHANIEL DER-LIN KWOK
Title or Position: OWNER
Credential: MD
Phone: 561-406-4469