ROYAL PALM PEDIATRICS CORP NPI 1932351368

NPI Information

  • NPI: 1932351368
  • Provider Name: ROYAL PALM PEDIATRICS CORP
  • Classification: Pediatrics - 208000000X
  • Entity Type: Organization
  • CLIA Number: 10D1091517
  • Address: 11903 SOUTHERN BLVD STE 118
    ROYAL PALM BEACH, FL
    ZIP 33411
  • Phone: (561) 429-5898

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NPI Details

ROYAL PALM PEDIATRICS CORP is a pediatrics in Royal Palm Beach, 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. ROYAL PALM PEDIATRICS CORP NPI is 1932351368. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

11903 SOUTHERN BLVD STE 118
ROYAL PALM BEACH, FL
ZIP 33411-644
Phone: (561) 429-5898
Fax: (561) 429-5897

The provider's authorized official is Gomathy Mohan .
The authorized official title is Owner/physician and has the following contact phone number (561) 429-5898.

The CLIA number assigned to this NPI record is 10D1091517 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/16/2008 and was last updated on 9/9/2024.

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
1208000000XPediatricsME90824FLORIDAYes

What is NPI?

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

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