PHYSICIANS PARK MEDICAL GROUP INC NPI 1114140092

NPI Information

NPI: 1114140092
Provider Name: PHYSICIANS PARK MEDICAL GROUP INC
Classification: Internal Medicine - 207RP1001X
Entity Type: Organization

Specialization: Pulmonary Disease

Address:
124 SW 1ST ST
BELLE GLADE, FL
ZIP 33430
Phone: (561) 992-2316
Get Directions

PHYSICIANS PARK MEDICAL GROUP INC is a pulmonary disease internal medicine in Belle Glade, FL. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. PHYSICIANS PARK MEDICAL GROUP INC NPI is 1114140092. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

124 SW 1ST ST
BELLE GLADE, FL
ZIP 33430-472
Phone: (561) 992-2316
Fax: (561) 993-3860

The provider's authorized official is Yaw O Abu .
The authorized official title is President and has the following contact phone number (561) 992-2316.

The enumeration date for this NPI number is 4/10/2007 and was last updated on 3/20/2013.

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
1	208000000X	Pediatrics		ME73613	FLORIDA	No
2	207RP1001X	Internal Medicine	Pulmonary Disease	ME71517	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	34222	MEDICARE PIN	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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