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General NPI Number Information
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NPI Number | 1457325011
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Entity Type | Organization
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Legal Business Name | PALM BEACH PHYSICIANS GROUP INC
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Dates
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Enumeration Date | 02/13/2006
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 4601 N CONGRESS AVE STE 200
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City | WEST PALM BEACH
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State | FL
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Zip | 33407-3381
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Country | US
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Telephone | 561-840-4600
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Fax | 561-840-4680
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Provider Business Mailing Address
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Address Line | 4601 N CONGRESS AVE STE 200
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City | WEST PALM BEACH
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State | FL
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Zip | 33407-3381
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Country | US
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Telephone | 561-840-4600
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Fax | 561-840-4680
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Authorized Official
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Title or Position | CHAIRMAN
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Name | DR. MINERVA ELLIS
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Credential | DO
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Telephone | 561-840-4660
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME49828
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME90839
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | OS11360
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License Number State | FL
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