EAST DELRAY MEDICAL P A
NPI 1306049457
Specialist in Boynton Beach, FL

Q: What is East Delray Medical P A's NPI number?

The NPI number for East Delray Medical P A is 1306049457. It was assigned to this organization in the NPPES registry on June 7, 2007.

Q: What is East Delray Medical P A's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since June 07, 2007

16 LAKE EDEN DR, BOYNTON BEACH, FL 33435(561) 302-6560 Get Directions Write a Review

NPPES record last updated: September 16, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About East Delray Medical P A NPPES

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

EAST DELRAY MEDICAL P A (NPI 1306049457) is a healthcare organization registered as a specialist in Boynton Beach, Florida and active in the NPI registry since June 2007. The organization lists Michelle Deitsch, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1306049457

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameEAST DELRAY MEDICAL P A

Location Address16 LAKE EDEN DRBoynton Beach, FL 33435-8667

Mailing Address16 Lake Eden DrBoynton Beach, FL 33435-8667 · (561) 302-6560

Phone(561) 302-6560

Organization SubpartNo

Authorized OfficialMichelle DeitschOffice Manager · (561) 302-6560

Enumeration DateJune 7, 2007

Last NPPES UpdateSeptember 16, 2010

✔ NPI 1306049457 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in FL · ME74637

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

16 LAKE EDEN DR, Boynton Beach, FL 33435

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Other Identifiers 3

Medicare ID-Type UnspecifiedK9598FL

Other44314FL · Provider Number

Medicare UPING77975FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 East Delray Medical P A's NPI number?

The NPI number for East Delray Medical P A is 1306049457. It was assigned to this organization in the NPPES registry on June 7, 2007.

Where is East Delray Medical P A located?

East Delray Medical P A is located at 16 Lake Eden Dr, Boynton Beach, FL 33435. The listed phone number is (561) 302-6560.

What is East Delray Medical P A's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for East Delray Medical P A was last updated on September 16, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.