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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: August 09, 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
Phone(561) 738-7611
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
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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

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Molina Healthcare.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.

MR. CHRISTIAN VAN DEN HEUVEL SR. MD
Family Medicine
2848 S SEACREST BLVD
BOYNTON BEACH, FL 33435
Palm Beach County (561) 737-8844
MRS. SOPHIA DELVA ARNP
Nurse Practitioner (Primary Care)
2848 S SEACREST BLVD
BOYNTON BEACH, FL 33435
Palm Beach County (561) 468-6908
SEITZ DIAGNOSTIC GROUP LLC
Dietary Manager
2848 S SEACREST BLVD
BOYNTON BEACH, FL 33435
Palm Beach County (561) 737-8844
MEDIC PARTNERS LLC
Clinic/Center (Primary Care)
2848 S SEACREST BLVD
BOYNTON BEACH, FL 33435
Palm Beach County (561) 738-7611

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 Seacrest Medical Group PA's NPI number?

The NPI number for Seacrest Medical Group PA is 1700088911. It was assigned to this organization in the NPPES registry on June 1, 2007. The provider is doing business as Seacrest Medical Office Diagnostic.

Where is Seacrest Medical Group PA located?

Seacrest Medical Group PA is located at 2848 S Seacrest Blvd, Boynton Beach, FL 33435. The listed phone number is (561) 738-7611.

What is Seacrest Medical Group PA's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Seacrest Medical Group PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D1089892) is associated with this NPI, valid through September 29, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Seacrest Medical Group PA accept?

Health plans from AvMed and Molina Healthcare list Seacrest Medical Group PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Seacrest Medical Group PA was last updated on October 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.