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PALM BEACH PEDIATRIC UROLOGY
NPI 1598739831
Urology in Boynton Beach, FL

Active since February 14, 2006CLIA Certified · 2 labs
10301 HAGEN RANCH RD, SUITE C130, BOYNTON BEACH, FL 33437(561) 736-7313(561) 736-2309 Get Directions Write a Review

NPPES record last updated: October 22, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Palm Beach Pediatric Urology NPPES

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

PALM BEACH PEDIATRIC UROLOGY (NPI 1598739831) is a healthcare organization registered as an urology in Boynton Beach, Florida and active in the NPI registry since February 2006. The organization holds 2 active CLIA laboratory certificates and lists Charles E Flack, President, as its authorized official.

NPPES Registry Identity

NPI1598739831
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NamePALM BEACH PEDIATRIC UROLOGY
Location Address10301 HAGEN RANCH RD, SUITE C130Boynton Beach, FL 33437
Mailing Address10301 Hagen Ranch Rd, Suite C130Boynton Beach, FL 33437 · (561) 736-7313 · Fax (561) 736-2309
Phone(561) 736-7313
Fax(561) 736-2309
Organization SubpartNo
Authorized OfficialCharles E FlackPresident · (561) 512-0614
Enumeration DateFebruary 14, 2006
Last NPPES UpdateOctober 22, 2013
✔ NPI 1598739831 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in FL · ME599337
Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

10301 HAGEN RANCH RD, Boynton Beach, FL 33437
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Other Identifiers 9

Other103690FL · Avmed
Other2032607FL · Aetna Hmo
Other204200FL · Amerigroup
Other5962FL · Nhp
Medicaid272189900FL
Other26943FL · Wellcare
Other4611456FL · Aetna Non-hmo
Other12475FL · Bcbs
Other1755943FL · Cigna

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

CLIA Laboratory Certificates CMS CLIA 2

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 10D2230871

South Florida Pediatric Urology LLP · Boca Raton, FL
Active · expires Jul 27, 2027
CLIA Number10D2230871
Laboratory TypePhysician Office
Certificate Effective DateJuly 28, 2025
Certificate Expiration DateJuly 27, 2027
Laboratory DirectorAndrew Labbie
Laboratory Phone(561) 736-7313
Laboratory LocationSouth Florida Pediatric Urology LLP9980 Central Park Blvd North Suite 302, Boca Raton, FL 33428
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2090711

South Florida Pediatric Urology LLP · Boynton Beach, FL
Active · expires Jan 28, 2027
CLIA Number10D2090711
Laboratory TypePhysician Office
Certificate Effective DateJanuary 29, 2025
Certificate Expiration DateJanuary 28, 2027
Laboratory DirectorAndroniki Kanaroglou
Laboratory Phone(561) 736-7313
Laboratory LocationSouth Florida Pediatric Urology LLP10151 Enterprise Center Blvd Suite 101, Boynton Beach, FL 33437
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

DR. RACHEL S EIDELMAN M.D.
Internal Medicine (Cardiovascular Disease)
10301 HAGEN RANCH RD, SUITE B-5
BOYNTON BEACH, FL 33437
Palm Beach County (561) 244-7720
SHAUL S DADI M.D.
Internal Medicine (Cardiovascular Disease)
10301 HAGEN RANCH RD, SUITE B 550
BOYNTON BEACH, FL 33437
Palm Beach County (888) 407-6166
BETHESDA HEALTH CITY, INC.
Radiology (Diagnostic Radiology)
10301 HAGEN RANCH RD
BOYNTON BEACH, FL 33437
Palm Beach County (561) 736-1200
DR. DAVID A ROSENSTEIN M.D.
Specialist
10301 HAGEN RANCH RD, SUITE 730
BOYNTON BEACH, FL 33437
Palm Beach County (561) 736-9800
MR. DIPNARINE MAHARAJ MB,CHB,MD,FRCP
Internal Medicine (Hematology & Oncology)
10301 HAGEN RANCH RD, SUITE # 600
BOYNTON BEACH, FL 33437
Palm Beach County (561) 752-5522
MATERNAL INSTINCT OBSTETRICS, P.A..
Clinic/Center (Medical Specialty)
10301 HAGEN RANCH RD, B-740
BOYNTON BEACH, FL 33437
Palm Beach County (561) 734-0188
KENNETH S. JAFFE, M.D., P.A.
Internal Medicine (Geriatric Medicine)
10301 HAGEN RANCH RD, SUITE B-550
BOYNTON BEACH, FL 33437
Palm Beach County (561) 374-8677
DADI CARDIAC CARE CENTER INC
Internal Medicine (Cardiovascular Disease)
10301 HAGEN RANCH RD, B 550
BOYNTON BEACH, FL 33437
Palm Beach County (888) 407-6166

Frequently Asked Questions

What is PALM BEACH PEDIATRIC UROLOGY's NPI number?

The NPI number assigned to this healthcare provider is 1598739831, enumerated as an "organization" on February 14, 2006.

Where is the provider located?

The provider is located at 10301 HAGEN RANCH RD SUITE C130 BOYNTON BEACH, FL 33437 and the phone number is (561) 736-7313.

What is the provider's specialty?

Urology with taxonomy code 208800000X.

What insurance does PALM BEACH PEDIATRIC UROLOGY accept?

The provider might be accepting Accepts: Medicare, Medicaid, Aetna, Amerigroup, Wellcare,. Please consult your insurance carrier or call the provider to verify.