PALM BEACH PEDIATRICS LLC NPI 1063365716

NPI Information

  • NPI: 1063365716
  • Provider Name: PALM BEACH PEDIATRICS, LLC
  • Classification: Pediatrics - 208000000X
  • Entity Type: Organization
  • Address: 4801 COCONUT CREEK PKWY
    COCONUT CREEK, FL
    ZIP 33063
  • Phone: (561) 509-5009

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NPI Details

PALM BEACH PEDIATRICS, LLC is a pediatrics in Coconut Creek, FL. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. PALM BEACH PEDIATRICS, LLC NPI is 1063365716. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4801 COCONUT CREEK PKWY
COCONUT CREEK, FL
ZIP 33063-903
Phone: (561) 509-5009

The provider's authorized official is Alexandra Gray .
The authorized official title is Project Manager and has the following contact phone number (561) 509-5009.

The enumeration date for this NPI number is 2/20/2026 and was last updated on 2/20/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatricsYes

What is NPI?

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This page was last updated on: 11/21/2025

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