SOUTH PALM PRIMARY CARE LLC
NPI 1306413455
Family Medicine in Boca Raton, FL

Active since June 08, 2021CLIA 10D2257549 · Waiver
670 GLADES RD STE 110, BOCA RATON, FL 33431(561) 361-3133(561) 361-9695 Get Directions Write a Review

NPPES record last updated: March 24, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 24, 2026, Jun 14, 2025, Apr 17, 2022 and 1 more (4 updates tracked since 2021).

About South Palm Primary Care Llc NPPES

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

SOUTH PALM PRIMARY CARE LLC (NPI 1306413455) is a healthcare organization registered as a family medicine in Boca Raton, Florida and active in the NPI registry since June 2021. The organization holds a CLIA Waiver certificate valid through April 6, 2028 and lists Joann Yi, Owner, as its authorized official.

NPPES Registry Identity

NPI1306413455
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSOUTH PALM PRIMARY CARE LLC
Location Address670 GLADES RD STE 110Boca Raton, FL 33431-6462
Mailing Address670 Glades Rd Ste 110Boca Raton, FL 33431-6462 · (561) 361-3133 · Fax (561) 361-9695
Fax(561) 361-9695
Organization SubpartNo
Authorized OfficialJoann YiOwner · (561) 361-3133
Enumeration DateJune 8, 2021
Last NPPES UpdateMarch 24, 20264 updates tracked since enumeration
NPPES CertifiedMarch 24, 2026
NPI 1306413455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
670 GLADES RD STE 110, Boca Raton, FL 33431

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 10D2257549

South Palm Primary Care LLC · Boca Raton, FL
Active · expires Apr 6, 2028
CLIA Number10D2257549
Laboratory TypePhysician Office
Certificate Effective DateApril 7, 2026
Certificate Expiration DateApril 6, 2028
Laboratory DirectorJoann Yi
Laboratory Phone(561) 361-3133
Laboratory LocationSouth Palm Primary Care LLC670 Glades Rd #110, Boca Raton, FL 33431
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

Nurse Practitioner (Family)
670 GLADES RD STE 110
BOCA RATON, FL 33431
Family Medicine
670 GLADES RD STE 110
BOCA RATON, FL 33431
Nurse Practitioner (Family)
670 GLADES RD STE 110
BOCA RATON, FL 33431

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 South Palm Primary Care LLC's NPI number?

The NPI number for South Palm Primary Care LLC is 1306413455. It was assigned to this organization in the NPPES registry on June 8, 2021.

Where is South Palm Primary Care LLC located?

South Palm Primary Care LLC is located at 670 Glades Rd Ste 110, Boca Raton, FL 33431. The listed phone number is (561) 361-3133.

What is South Palm Primary Care LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does South Palm Primary Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2257549) is associated with this NPI, valid through April 6, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for South Palm Primary Care LLC was last updated on March 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.