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FAMILY MEDICAL GROUP WPB LLC
NPI 1417832536
Family Medicine in West Palm Beach, FL

Active since August 07, 2025CLIA 10D2331486 · Waiver
1280 OLD CONGRESS AVE STE 217, WEST PALM BEACH, FL 33409(561) 316-0226 Get Directions Write a Review

NPPES record last updated: August 7, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Family Medical Group Wpb Llc NPPES

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

FAMILY MEDICAL GROUP WPB LLC (NPI 1417832536) is a healthcare organization registered as a family medicine in West Palm Beach, Florida and active in the NPI registry since August 2025. The organization holds a CLIA Waiver certificate valid through October 1, 2027 and lists Ileana Collado, Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1417832536
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameFAMILY MEDICAL GROUP WPB LLC
Location Address1280 OLD CONGRESS AVE STE 217West Palm Beach, FL 33409-6377
Mailing Address12391 Sw 130th StMiami, FL 33186-6208
Phone(561) 316-0226
Organization SubpartNo
Authorized OfficialIleana ColladoDirector Of Operations · (786) 971-8016
Enumeration DateAugust 7, 2025
NPPES CertifiedAugust 7, 2025
✔ NPI 1417832536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
1280 OLD CONGRESS AVE STE 217, West Palm Beach, FL 33409
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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 10D2331486

Family Medical Group Wpb LLC · West Palm Beach, FL
Active · expires Oct 1, 2027
CLIA Number10D2331486
Laboratory TypePhysician Office
Certificate Effective DateOctober 2, 2025
Certificate Expiration DateOctober 1, 2027
Laboratory DirectorPedro Castellanos
Laboratory Phone(561) 316-0226
Laboratory LocationFamily Medical Group Wpb LLC1280 Old Congress Ave, Suite 217, West Palm Beach, FL 33409
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Family Medical Group Wpb LLC's NPI number?

The NPI number for Family Medical Group Wpb LLC is 1417832536. It was assigned to this organization in the NPPES registry on August 7, 2025.

Where is Family Medical Group Wpb LLC located?

Family Medical Group Wpb LLC is located at 1280 Old Congress Ave Ste 217, West Palm Beach, FL 33409. The listed phone number is (561) 316-0226.

What is Family Medical Group Wpb LLC's specialty?

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

Does Family Medical Group Wpb LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2331486) is associated with this NPI, valid through October 1, 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 Family Medical Group Wpb LLC was last updated on August 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.