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BOUTWELL MEDICAL ASSOCIATES, LLC
NPI 1619121340
Internal Medicine - Addiction Medicine in Lake Worth, FL

Active since November 07, 2008
3185 BOUTWELL RD, LAKE WORTH, FL 33461(561) 533-0074 Get Directions Write a Review

NPPES record last updated: January 31, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Boutwell Medical Associates, Llc NPPES

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

BOUTWELL MEDICAL ASSOCIATES, LLC (NPI 1619121340) is a healthcare organization registered as an addiction medicine in Lake Worth, Florida and active in the NPI registry since November 2008. The organization lists Morgan Poncy, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1619121340
Entity TypeOrganization
Primary Taxonomy207RA0401X
Legal Business NameBOUTWELL MEDICAL ASSOCIATES, LLC
Location Address3185 BOUTWELL RDLake Worth, FL 33461-2610
Mailing AddressPo Box 7240Jupiter, FL 33468-7240 · (561) 748-2889 · Fax (561) 748-1523
Phone(561) 533-0074
Organization SubpartNo
Authorized OfficialMorgan PoncyMedical Director · (561) 748-2889
Enumeration DateNovember 7, 2008
Last NPPES UpdateJanuary 31, 2011
✔ NPI 1619121340 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RA0401X
Definition

An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.

3185 BOUTWELL RD, Lake Worth, FL 33461
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Other Identifiers 1

Medicare UPING90813FL

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

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.

10TH AVE MEDICAL ASSOCIATES, LLC
Psychiatry & Neurology (Addiction Psychiatry)
3185 BOUTWELL RD
LAKE WORTH, FL 33461
Palm Beach County (561) 533-0074
SUNRISE DIAGNOSTICS GROUP, LLC
Clinical Medical Laboratory
3185 BOUTWELL RD
LAKE WORTH, FL 33461
Palm Beach County (561) 748-2889
VIBRO AT LAKE WORTH LLC
Psychiatry & Neurology (Addiction Medicine)
3185 BOUTWELL RD
LAKE WORTH, FL 33461
Palm Beach County (561) 533-0074
CHIRO AT LAKE WORTH LLC
Chiropractor
3185 BOUTWELL RD
LAKE WORTH, FL 33461
Palm Beach County (561) 533-0074
SUNSHINE PSYCHIATRIC SYSTEMS ASSOCIATES LLC
Nurse Practitioner (Psychiatric/Mental Health)
3185 BOUTWELL RD
LAKE WORTH, FL 33461
Palm Beach County (561) 533-0074
SUNSHINE MEDICAL SYSTEMS ASSOCIATES LLC
Internal Medicine (Addiction Medicine)
3185 BOUTWELL RD
LAKE WORTH, FL 33461
Palm Beach County (561) 533-0074
BRYCE JAMES ROSEN
Counselor (Mental Health)
3185 BOUTWELL RD
LAKE WORTH BEACH, FL 33461
Palm Beach County (561) 533-0074
KEVIN W BIEMULLER RMHCI
Counselor (Mental Health)
3185 BOUTWELL RD
LAKE WORTH BEACH, FL 33461
Palm Beach County (561) 533-0074

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 Boutwell Medical Associates, LLC's NPI number?

The NPI number for Boutwell Medical Associates, LLC is 1619121340. It was assigned to this organization in the NPPES registry on November 7, 2008.

Where is Boutwell Medical Associates, LLC located?

Boutwell Medical Associates, LLC is located at 3185 Boutwell Rd, Lake Worth, FL 33461. The listed phone number is (561) 533-0074.

What is Boutwell Medical Associates, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Addiction Medicine, with taxonomy code 207RA0401X.

When was this NPI record last updated?

The NPPES record for Boutwell Medical Associates, LLC was last updated on January 31, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.