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SEACREST MEDICAL GROUP PA NPI 1700088911


NPI Information

NPI: 1700088911
Provider Name: SEACREST MEDICAL GROUP PA

Doing Business As: SEACREST MEDICAL OFFICE DIAGNOSTIC

Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 10D1089892

Address:
2848 S SEACREST BLVD
BOYNTON BEACH, FL
ZIP 33435
Phone: (561) 738-7611
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SEACREST MEDICAL GROUP PA is an internal medicine in Boynton Beach, FL. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. SEACREST MEDICAL GROUP PA NPI is 1700088911. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Seacrest Medical Office Diagnostic.

The provider's business location address is:

2848 S SEACREST BLVD
BOYNTON BEACH, FL
ZIP 33435-935
Phone: (561) 738-7611
Fax: (561) 738-7622

The provider's authorized official is Jean Richard Etienne .
The authorized official title is Physician and has the following contact phone number (561) 738-7611.

The CLIA number assigned to this NPI record is 10D1089892 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/1/2007 and was last updated on 10/14/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineME94948FLORIDAYes

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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