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GREEN TREE FAMILY MEDICINE LLC
NPI 1699507756
Family Medicine - Adult Medicine in West Palm Beach, FL

Active since August 16, 2024CLIA 10D2323795 · Waiver
1411 N FLAGLER DR STE 9300B, WEST PALM BEACH, FL 33401(561) 941-3399(561) 941-3398 Get Directions Write a Review

NPPES record last updated: February 4, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 4, 2025, Aug 16, 2024 (2 updates tracked since 2024).

About Green Tree Family Medicine Llc NPPES

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

GREEN TREE FAMILY MEDICINE LLC (NPI 1699507756) is a healthcare organization registered as an adult medicine in West Palm Beach, Florida and active in the NPI registry since August 2024. The organization holds a CLIA Waiver certificate valid through May 13, 2027 and lists Jegan E Gabbidon, Physician, as its authorized official.

NPPES Registry Identity

NPI1699507756
Entity TypeOrganization
Primary Taxonomy207QA0505X
Legal Business NameGREEN TREE FAMILY MEDICINE LLC
Location Address1411 N FLAGLER DR STE 9300BWest Palm Beach, FL 33401-3404
Mailing Address1411 N Flagler Dr Ste 9300bWest Palm Beach, FL 33401-3404 · (561) 941-3399 · Fax (561) 941-3398
Phone(561) 941-3399
Fax(561) 941-3398
Organization SubpartNo
Authorized OfficialJegan E GabbidonPhysician · (561) 941-3399
Enumeration DateAugust 16, 2024
Last NPPES UpdateFebruary 4, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 4, 2025
✔ NPI 1699507756 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
1411 N FLAGLER DR STE 9300B, West Palm Beach, FL 33401
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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

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 10D2323795

Green Tree Family Medicine LLC · West Palm Beach, FL
Active · expires May 13, 2027
CLIA Number10D2323795
Laboratory TypePhysician Office
Certificate Effective DateMay 14, 2025
Certificate Expiration DateMay 13, 2027
Laboratory DirectorJegan D O Gabbidon
Laboratory Phone(813) 512-1496
Laboratory LocationGreen Tree Family Medicine LLC1411 N Flagler Dr Ste 9300B, West Palm Beach, FL 33401
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

DR. JEGAN ELVIN CURTIS GABBIDON DO
Family Medicine
1411 N FLAGLER DR STE 9300B
WEST PALM BEACH, FL 33401
Palm Beach County (561) 941-3399

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 Green Tree Family Medicine LLC's NPI number?

The NPI number for Green Tree Family Medicine LLC is 1699507756. It was assigned to this organization in the NPPES registry on August 16, 2024.

Where is Green Tree Family Medicine LLC located?

Green Tree Family Medicine LLC is located at 1411 N Flagler Dr Ste 9300B, West Palm Beach, FL 33401. The listed phone number is (561) 941-3399.

What is Green Tree Family Medicine LLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Does Green Tree Family Medicine LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2323795) is associated with this NPI, valid through May 13, 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 Green Tree Family Medicine LLC was last updated on February 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.