SEACREST MEDICAL OFFICE DIAGNOSTIC
NPI 1700088911
Internal Medicine in Boynton Beach, FL

Active since June 01, 2007CLIA 10D1089892 · Waiver
2848 S SEACREST BLVD, BOYNTON BEACH, FL 33435(561) 738-7611(561) 738-7622 Get Directions Write a Review

NPPES record last updated: October 14, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Seacrest Medical Office Diagnostic NPPES

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

SEACREST MEDICAL OFFICE DIAGNOSTIC (NPI 1700088911) is a healthcare organization registered as an internal medicine in Boynton Beach, Florida and active in the NPI registry since June 2007. The organization holds a CLIA Waiver certificate valid through September 29, 2026 and lists Jean Richard Etienne, Physician, as its authorized official.

NPPES Registry Identity

NPI1700088911
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSEACREST MEDICAL GROUP PA
Location Address2848 S SEACREST BLVDBoynton Beach, FL 33435-7935
Mailing Address2848 S Seacrest BlvdBoynton Beach, FL 33435-7935 · (561) 738-7611 · Fax (561) 738-7622
Fax(561) 738-7622
Organization SubpartNo
Authorized OfficialJean Richard EtiennePhysician · (561) 738-7611
Enumeration DateJune 1, 2007
Last NPPES UpdateOctober 14, 2020
NPPES CertifiedOctober 14, 2020
NPI 1700088911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in FL · ME94948
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

2848 S SEACREST BLVD, Boynton Beach, FL 33435

Other Names 1

Doing Business AsSeacrest Medical Office Diagnostic

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

Accepted Insurance

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 10D1089892

Seacrest Medical Group PA · Boynton Beach, FL
Active · expires Sep 29, 2026
CLIA Number10D1089892
Laboratory TypePhysician Office
Certificate Effective DateSeptember 30, 2024
Certificate Expiration DateSeptember 29, 2026
Laboratory DirectorJean R. Etienne
Laboratory Phone(561) 738-7611
Laboratory LocationSeacrest Medical Group PA2848 S Seacrest Blvd, Boynton Beach, FL 33435
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

Family Medicine
2848 S SEACREST BLVD
BOYNTON BEACH, FL 33435
Dietary Manager
2848 S SEACREST BLVD
BOYNTON BEACH, FL 33435
Nurse Practitioner (Primary Care)
2848 S SEACREST BLVD
BOYNTON BEACH, FL 33435
Clinic/Center (Primary Care)
2848 S SEACREST BLVD
BOYNTON BEACH, FL 33435

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1700088911, enumerated as an "organization" on June 01, 2007.

The provider is located at 2848 S SEACREST BLVD BOYNTON BEACH, FL 33435 and the phone number is (561) 738-7611.

Internal Medicine with taxonomy code 207R00000X.

The provider might be accepting Accepts: AvMed and Molina Healthcare. Please consult your insurance carrier or call the provider to verify.