Active NPI 1023065083 Individual Practitioner Female Practitioner

Geraldine Brandefine Emanuel , ARNP

Nurse Practitioner • Palm Beach Gardens, FL

✓ Accepts Medicare Assignment

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Geraldine Emanuel, ARNP is a registered Nurse Practitioner practitioner in Palm Beach Gardens, FL. With approximately 25 years of clinical practice since completing medical education in 2001, Geraldine Emanuel provides healthcare services at the registered practice location at 600 VILLAGE SQUARE XING.

Geraldine Emanuel is affiliated with Aqua Dermatology Of Florida, Pa and accepts Medicare assignment.

Frequently performed procedures and clinical services include destruction of precancer skin growth, 2-14 growths, established patient outpatient office visit, destruction of skin growth. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

600 Village Square Xing

Palm Beach Gardens, FL 334104542

Telephone 5616949493

Fax 5616949064

Associated Practice Facility / Clinic

🏢 Water's Edge Dermatology, Llc Facility NPI 1871542787

Medicare Profile & Education

Medical School

Other

Graduation Year

2001

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Palm Beach Gardens, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

25 Yrs +13.2 yrs vs City Avg

City Avg: 11.8 Yrs

State Avg: 10.0 Yrs

Regional Practice Density

40 Specialists

Practicing in Palm Beach Gardens, FL (8990 Statewide)

Telehealth Adoption Rate

12.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

64.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Emanuel (25 Years) 25 Yrs

Palm Beach Gardens Specialty Average (11.8 Years) 11.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,537	240	$14.00	$5.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	545	423	$269.83	$109.78
99213 Established patient office or other outpatient visit, typically 15 minutes	497	398	$191.32	$78.01
17000 Destruction of skin growth	442	306	$142.00	$43.53
11102 Tangential biopsy of single skin lesion	343	269	$209.00	$77.10
17110 Destruction of up to 14 skin growths	203	171	$237.00	$94.82
11103 Biopsy of related skin growth, each additional growth	152	80	$105.00	$42.75
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	136	114	$119.00	$48.50
17004 Destruction of precancer skin growth, 15 or more growths	67	50	$352.00	$143.06
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	66	18	$2.00	$0.96
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	41	36	$516.00	$104.76
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	41	41	$357.00	$144.74
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	35	32	$897.00	$363.89
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	33	31	$836.00	$319.10
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	32	32	$238.00	$96.37
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	27	22	$376.00	$136.14
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	20	16	$29.50	$12.14
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	18	12	$593.00	$120.29
69100 Biopsy of ear	16	16	$201.00	$56.02
11104 Punch biopsy, first skin growth	15	15	$262.00	$102.99
99202 New patient office or other outpatient visit, typically 20 minutes	15	15	$153.00	$62.14
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	13	13	$312.00	$117.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,997	261	$13.99	$5.74
99213 Established patient office or other outpatient visit, typically 15 minutes	790	570	$194.28	$79.21
17000 Destruction of skin growth	488	328	$144.59	$45.14
11102 Tangential biopsy of single skin lesion	374	303	$218.44	$81.72
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	250	180	$274.12	$112.16
17110 Destruction of up to 14 skin growths	181	155	$241.75	$97.93
11103 Biopsy of related skin growth, each additional growth	151	86	$108.64	$44.29
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	113	101	$121.26	$49.68
17004 Destruction of precancer skin growth, 15 or more growths	80	63	$367.55	$149.58
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	72	72	$246.42	$99.70
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	65	18	$3.00	$1.05
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	41	31	$388.02	$131.16
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	36	31	$531.92	$108.31
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	28	28	$924.64	$377.30
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	26	25	$866.19	$339.18
99202 New patient office or other outpatient visit, typically 20 minutes	22	22	$156.64	$63.66
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$362.57	$147.34
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	20	15	$30.00	$12.30
69100 Biopsy of ear	16	15	$210.06	$56.19
10040 Acne surgery	12	11	$251.50	$98.28
10060 Simple or single drainage of skin abscess	12	11	$271.50	$106.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,948	255	$14.00	$5.87
99213 Established patient office or other outpatient visit, typically 15 minutes	778	581	$198.87	$80.40
17000 Destruction of skin growth	503	329	$143.00	$45.96
11102 Tangential biopsy of single skin lesion	390	300	$222.72	$83.47
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	264	212	$282.00	$112.49
11103 Biopsy of related skin growth, each additional growth	226	117	$115.00	$45.60
17110 Destruction of up to 14 skin growths	181	145	$244.00	$97.79
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	146	120	$121.00	$50.16
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	135	41	$4.00	$1.14
17004 Destruction of precancer skin growth, 15 or more growths	71	54	$359.00	$149.47
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	61	61	$247.00	$100.94
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	50	39	$544.00	$109.45
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	50	39	$954.00	$371.56
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	41	30	$388.00	$132.34
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	35	29	$31.00	$12.55
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	26	23	$891.00	$345.06
99202 New patient office or other outpatient visit, typically 20 minutes	20	20	$160.00	$65.03
11900 Injection into skin growth, 1-7 growths	19	16	$123.00	$39.93
69100 Biopsy of ear	15	14	$217.00	$66.35
11104 Punch biopsy, first skin growth	14	14	$282.00	$113.54
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	12	11	$622.00	$125.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,753	252	$19.07	$5.70
99213 Established patient office or other outpatient visit, typically 15 minutes	681	513	$131.54	$81.57
17000 Destruction of skin growth	475	322	$127.57	$44.48
11102 Tangential biopsy of single skin lesion	405	324	$213.27	$85.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	297	231	$191.39	$115.86
11103 Biopsy of related skin growth, each additional growth	231	115	$115.00	$47.53
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	181	154	$88.45	$50.09
17110 Destruction of up to 14 skin growths	164	144	$192.12	$99.74
17004 Destruction of precancer skin growth, 15 or more growths	99	77	$389.71	$148.79
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	98	32	$23.47	$1.24
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	84	84	$212.00	$101.50
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	48	40	$420.77	$112.28
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	44	40	$723.16	$363.88
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	43	32	$291.14	$132.65
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	34	33	$778.12	$393.86
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	30	26	$33.80	$12.55
11104 Punch biopsy, first skin growth	22	22	$266.00	$111.54
69100 Biopsy of ear	20	18	$195.40	$69.36
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$293.37	$151.78
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	16	16	$319.25	$78.81
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$139.64	$65.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,767	244	$21.00	$5.28
99213 Established patient office or other outpatient visit, typically 15 minutes	622	497	$106.00	$67.37
17000 Destruction of skin growth	492	328	$122.00	$44.99
11102 Tangential biopsy of single skin lesion	402	301	$210.00	$83.56
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	308	217	$78.00	$40.80
11103 Biopsy of related skin growth, each additional growth	219	121	$115.00	$47.85
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	177	135	$167.00	$97.71
17110 Destruction of up to 14 skin growths	112	98	$177.00	$99.31
17004 Destruction of precancer skin growth, 15 or more growths	86	66	$399.00	$140.55
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	74	74	$198.00	$97.33
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	50	36	$375.00	$112.26
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	41	36	$680.00	$346.84
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	39	34	$31.54	$1.45
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	36	29	$724.00	$385.85
99202 New patient office or other outpatient visit, typically 20 minutes	35	35	$132.00	$68.54
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	32	31	$935.00	$422.72
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	31	25	$35.00	$12.69
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	25	20	$269.00	$130.22
11104 Punch biopsy, first skin growth	22	21	$260.00	$108.95
69100 Biopsy of ear	20	18	$193.00	$62.46
11900 Injection into skin growth, 1-7 growths	15	12	$91.00	$36.47
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	13	12	$298.00	$77.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,492	220	$21.00	$5.18
99213 Established patient office or other outpatient visit, typically 15 minutes	601	469	$106.00	$65.85
17000 Destruction of skin growth	435	290	$122.00	$46.21
11102 Tangential biopsy of single skin lesion	385	306	$210.00	$83.38
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	338	243	$78.00	$40.02
11103 Biopsy of related skin growth, each additional growth	221	119	$115.00	$47.78
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	197	145	$167.00	$96.20
17110 Destruction of up to 14 skin growths	100	81	$177.00	$93.61
17004 Destruction of precancer skin growth, 15 or more growths	90	63	$399.00	$136.21
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	75	75	$198.00	$94.11
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	53	41	$269.00	$131.27
99202 New patient office or other outpatient visit, typically 20 minutes	46	46	$132.00	$67.18
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	45	39	$36.00	$1.58
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	44	39	$375.00	$112.90
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	43	41	$935.00	$437.96
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	43	35	$35.00	$14.46
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	41	38	$724.00	$387.24
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	33	32	$680.00	$352.61
11104 Punch biopsy, first skin growth	22	22	$260.00	$111.27
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	11	11	$298.00	$76.45
13131 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 1.1-2.5 cm	11	11	$647.00	$297.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,868	243	$21.00	$4.79
99213 Established patient office or other outpatient visit, typically 15 minutes	746	534	$106.00	$64.07
11100 Biopsy of single growth of skin and/or tissue	467	353	$159.00	$88.09
17000 Destruction of skin growth	454	309	$122.00	$44.42
11101 Biopsy of each additional growth of skin and/or tissue	295	152	$58.00	$29.51
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	270	211	$78.00	$38.63
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	101	101	$198.00	$96.42
17110 Destruction of up to 14 skin growths	100	87	$177.00	$96.38
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	91	69	$167.00	$93.93
17004 Destruction of precancer skin growth, 15 or more growths	86	63	$399.00	$129.34
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	56	47	$375.00	$109.75
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	56	49	$680.00	$322.81
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	50	45	$724.00	$372.96
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	47	42	$935.00	$428.25
99202 New patient office or other outpatient visit, typically 20 minutes	44	44	$132.00	$65.40
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	35	26	$298.00	$75.11
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	32	28	$33.44	$1.79
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	32	23	$35.00	$17.88
69100 Biopsy of ear	26	23	$193.00	$67.46
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	23	20	$269.00	$130.08
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	16	14	$417.00	$128.37
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	13	13	$216.00	$114.22
13131 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 1.1-2.5 cm	13	13	$647.00	$319.82
11401 Removal of noncancer skin growth of body, arms, or legs, 0.6-1.0 cm	11	11	$260.00	$67.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,644	222	$21.00	$5.10
99213 Established patient office or other outpatient visit, typically 15 minutes	725	518	$106.00	$64.20
11100 Biopsy of single growth of skin and/or tissue	479	364	$159.00	$85.72
17000 Destruction of skin growth	435	301	$122.00	$43.38
11101 Biopsy of each additional growth of skin and/or tissue	310	152	$58.00	$29.57
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	235	177	$78.00	$38.21
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	120	120	$198.00	$96.21
17110 Destruction of up to 14 skin growths	111	89	$177.00	$96.21
17004 Destruction of precancer skin growth, 15 or more growths	97	70	$399.00	$132.67
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	69	53	$724.00	$379.71
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	62	56	$680.00	$314.05
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	61	51	$167.00	$94.15
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	53	36	$269.00	$123.80
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	50	43	$375.00	$111.14
99202 New patient office or other outpatient visit, typically 20 minutes	48	48	$135.06	$65.74
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	43	32	$298.00	$74.32
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	40	29	$28.00	$1.80
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	36	33	$935.00	$427.50
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	30	24	$35.00	$22.22
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	23	18	$417.00	$127.57
13131 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 1.1-2.5 cm	21	21	$647.00	$345.80
69100 Biopsy of ear	19	18	$193.00	$66.16
11900 Injection into skin growth, 1-7 growths	16	11	$91.00	$35.73
11401 Removal of noncancer skin growth of body, arms, or legs, 0.6-1.0 cm	12	12	$260.00	$72.05

Medical Specialties & State Licenses

CMS Verified: 2020-10-28

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License FL ARNP1962842

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Hospital & Practice Group Affiliations

Aqua Dermatology Of Florida, Pa

1015 Crosspointe Dr, Naples, FL 341100949

Phone: 2395969075

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

15 Associated Practitioners

Dr. Theodore Schiff , MD

Dermatology - Procedural Dermatology

NPI 1043276124

Doctor of Medicine (M.D.)

Claudia Vera , PA-C

Physician Assistant

NPI 1174868459

Physician Assistant (Certified)

Dr. Dwayne Montie , DO

Dermatology

NPI 1194946293

Doctor of Osteopathic Medicine (D.O.)

Dr. Laura Greyling , MD

Dermatology

NPI 1255620233

Doctor of Medicine (M.D.)

Richard Gagnon , PA-C

Physician Assistant - Medical

NPI 1275570244

Physician Assistant (Certified)

Dr. Justin Platzer , MD

Dermatology - MOHS-Micrographic Surgery

NPI 1487834693

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events

📍

Updated Business Mailing Address October 28, 2020

Registered at 2845 PGA BLVD, PALM BEACH GARDENS, FL 334102910 (Tel: 5616930540)

✅

NPI Profile Active March 17, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location March 17, 2016

Registered at 600 VILLAGE SQUARE XING, PALM BEACH GARDENS, FL 334104542 (Tel: 5616949493)

📍

Updated Business Mailing Address March 17, 2016

Registered at 600 VILLAGE SQUARE XING, PALM BEACH GARDENS, FL 334104542 (Tel: 5616949493)

👤

Provider Name / Credentials Updated March 17, 2016

Recorded as GERALDINE EMANUEL, ARNP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2016

Nurse Practitioner (License #ARNP1962842 in FL)

🟢

Initial NPI Registration & Enumeration May 27, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1023065083

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 27, 2006

Last Update: October 28, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2845 Pga Blvd

Palm Beach Gardens, FL 334102910

Phone: 5616930540

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.