MEDICARE: MEDICAL SPECIALISTS OF THE PALM BEACHES INC

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
1	207Q00000X	Family Medicine Physician
2	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1679516389
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDICAL SPECIALISTS OF THE PALM BEACHES INC

Provider Business Mailing Address
First Line	:	7593 BOYNTON BEACH BLVD STE 220
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33437-6162
Country	:	US
Telephone Number	:	561-649-7000
Fax Number	:	888-316-2198

Provider Business Practice Location Address
First Line	:	3472 FOREST HILL BLVD STE 3B
Second Line	:
City	:	PALM SPRINGS
State	:	FL
Zip	:	33406-5684
Country	:	US
Telephone Number	:	561-965-8222
Fax Number	:	561-963-0509

Authorized Official
Title or Position	:	CEO
Name	:	CASEY WATERS
Credential	:
Telephone Number	:	561-649-7000

Provider Enumeration Date	:	06/13/2006
Last Update Date	:	02/12/2025

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