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PALM BEACH WELLNESS LLC
NPI 1376086082
Clinic/Center in Delray Beach, FL

Active since November 29, 2016CLIA 10D1053704 · Waiver
2645 N FEDERAL HWY, STE 120, DELRAY BEACH, FL 33483(561) 740-2004 Get Directions Write a Review

NPPES record last updated: November 29, 2016. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Palm Beach Wellness Llc NPPES

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

PALM BEACH WELLNESS LLC (NPI 1376086082) is a healthcare organization registered as a clinic/center in Delray Beach, Florida and active in the NPI registry since November 2016. The organization holds a CLIA Waiver certificate valid through May 1, 2028 and lists Christine Shim, Manager, as its authorized official.

NPPES Registry Identity

NPI1376086082
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NamePALM BEACH WELLNESS LLC
Location Address2645 N FEDERAL HWY, STE 120Delray Beach, FL 33483-6100
Mailing Address2645 N Federal Hwy, Ste 120Delray Beach, FL 33483-6100 · (561) 740-2004
Phone(561) 740-2004
Organization SubpartNo
Authorized OfficialChristine ShimManager · (561) 740-2004
Enumeration DateNovember 29, 2016
✔ NPI 1376086082 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in FL · ME79337
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
2645 N FEDERAL HWY, Delray Beach, FL 33483
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Other Identifiers 2

Medicare PIN35822FL
Medicare UPINH20087FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

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 10D1053704

Palm Beach Wellness LLC · Delray Beach, FL
Active · expires May 1, 2028
CLIA Number10D1053704
Laboratory TypePhysician Office
Certificate Effective DateMay 2, 2026
Certificate Expiration DateMay 1, 2028
Laboratory DirectorRobert H. Dudley
Laboratory Phone(561) 740-2004
Laboratory LocationPalm Beach Wellness LLC2645 N Federal Hwy, Ste 100, Delray Beach, FL 33483
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 4

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

DR. CHRISTINE MIMI SHIM M.D.
Family Medicine
2645 N FEDERAL HWY, STE 120
DELRAY BEACH, FL 33483
Palm Beach County (561) 740-2004
MRS. TAHSEEN SILVA ARNP
Nurse Practitioner
2645 N FEDERAL HWY, SUITE 100
DELRAY BEACH, FL 33483
Palm Beach County (561) 740-2004
DR. ROBERT HARRIS DUDLEY MD
Family Medicine
2645 N FEDERAL HWY, # 100
DELRAY BEACH, FL 33483
Palm Beach County (561) 740-2004
MR. JOHN DUSTIN NANGLE P.A.-C
Physician Assistant
2645 N FEDERAL HWY
DELRAY BEACH, FL 33483
Palm Beach County (561) 742-2004

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 Palm Beach Wellness LLC's NPI number?

The NPI number for Palm Beach Wellness LLC is 1376086082. It was assigned to this organization in the NPPES registry on November 29, 2016.

Where is Palm Beach Wellness LLC located?

Palm Beach Wellness LLC is located at 2645 N Federal Hwy Ste 120, Delray Beach, FL 33483. The listed phone number is (561) 740-2004.

What is Palm Beach Wellness LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Palm Beach Wellness LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D1053704) is associated with this NPI, valid through May 1, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Palm Beach Wellness LLC accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Palm Beach Wellness LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Palm Beach Wellness LLC was last updated on November 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.