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PENINSULA DIAGNOSTICS PA
NPI 1619207628
Psychiatry & Neurology - Neurology in Boca Raton, FL

Active since January 14, 2010
1355 W PALMETTO PARK RD, #282, BOCA RATON, FL 33486(888) 395-4007(888) 395-3941 Get Directions Write a Review

NPPES record last updated: January 14, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Peninsula Diagnostics Pa NPPES

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

PENINSULA DIAGNOSTICS PA (NPI 1619207628) is a healthcare organization registered as a neurology in Boca Raton, Florida and active in the NPI registry since January 2010. The organization lists Russell Packard, Owner, as its authorized official.

NPPES Registry Identity

NPI1619207628
Entity TypeOrganization
Primary Taxonomy2084N0400X
Legal Business NamePENINSULA DIAGNOSTICS PA
Location Address1355 W PALMETTO PARK RD, #282Boca Raton, FL 33486-3330
Mailing Address1355 W Palmetto Park Rd, #282Boca Raton, FL 33486-3330 · (888) 395-4007 · Fax (888) 395-3941
Phone(888) 395-4007
Fax(888) 395-3941
Organization SubpartNo
Authorized OfficialRussell PackardOwner · (888) 395-4007
Enumeration DateJanuary 14, 2010
✔ NPI 1619207628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in FL · ME30779
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
1355 W PALMETTO PARK RD, Boca Raton, FL 33486
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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

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

MS. IRENE CEIL KESSLER MH002772
Counselor (Mental Health)
1355 W PALMETTO PARK RD, STE. 310
BOCA RATON, FL 33486
Palm Beach County (561) 213-5034

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 Peninsula Diagnostics PA's NPI number?

The NPI number for Peninsula Diagnostics PA is 1619207628. It was assigned to this organization in the NPPES registry on January 14, 2010.

Where is Peninsula Diagnostics PA located?

Peninsula Diagnostics PA is located at 1355 W Palmetto Park Rd #282, Boca Raton, FL 33486. The listed phone number is (888) 395-4007.

What is Peninsula Diagnostics PA's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

When was this NPI record last updated?

The NPPES record for Peninsula Diagnostics PA was last updated on January 14, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.