DIVERSE MEDICAL PROFESSIONALS, PA
NPI 1275309932
Internal Medicine in Boynton Beach, FL

Active since December 04, 2023CLIA 10D2024941 · Waiver
1200 S FEDERAL HWY STE 302, BOYNTON BEACH, FL 33435(561) 509-9382(561) 509-9362 Get Directions Write a Review

NPPES record last updated: December 4, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Diverse Medical Professionals, Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DIVERSE MEDICAL PROFESSIONALS, PA (NPI 1275309932) is a healthcare organization registered as an internal medicine in Boynton Beach, Florida and active in the NPI registry since December 2023. The organization holds a CLIA Waiver certificate valid through May 25, 2027 and lists Ryan Rosen, Physician/medical Director, as its authorized official.

NPPES Registry Identity

NPI1275309932
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameDIVERSE MEDICAL PROFESSIONALS, PA
Location Address1200 S FEDERAL HWY STE 302Boynton Beach, FL 33435-6058
Mailing Address1200 S Federal Hwy Ste 302Boynton Beach, FL 33435-6058 · (561) 509-9382 · Fax (561) 509-9362
Fax(561) 509-9362
Organization SubpartNo
Authorized OfficialRyan RosenPhysician/medical Director · (561) 509-9382
Enumeration DateDecember 4, 2023
NPPES CertifiedDecember 3, 2023
NPI 1275309932 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
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.
Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X
Also ListedPain Medicine · Pain MedicineTaxonomy 208VP0000X
1200 S FEDERAL HWY STE 302, Boynton Beach, FL 33435

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2024941

Diverse Medical Professionals PA · Boynton Beach, FL
Active · expires May 25, 2027
CLIA Number10D2024941
Laboratory TypeMedical Clinic
Certificate Effective DateMay 26, 2025
Certificate Expiration DateMay 25, 2027
Laboratory DirectorRyan N. Rosen
Laboratory Phone(561) 509-9382
Laboratory LocationDiverse Medical Professionals PA1200 South Federal Hwy Suite 302, Boynton Beach, FL 33435
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Medicine & Rehabilitation
1200 S FEDERAL HWY STE 302
BOYNTON BEACH, FL 33435
Family Medicine
1200 S FEDERAL HWY STE 302
BOYNTON BEACH, FL 33435

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Diverse Medical Professionals, PA's NPI number?

The NPI number for Diverse Medical Professionals, PA is 1275309932. It was assigned to this organization in the NPPES registry on December 4, 2023.

Where is Diverse Medical Professionals, PA located?

Diverse Medical Professionals, PA is located at 1200 S Federal Hwy Ste 302, Boynton Beach, FL 33435. The listed phone number is (561) 509-9382.

What is Diverse Medical Professionals, PA's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Diverse Medical Professionals, PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2024941) is associated with this NPI, valid through May 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Diverse Medical Professionals, PA was last updated on December 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.