# FAMILY PRACTICE & INTERNAL MEDICINE OF THE PALM BEACHES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033392782
- **Authorized official:** MR. RICHARD J LUCIBELLA (OWNER)
- **Authorized official phone:** (561) 776-8891

## Contact information

- **Practice address:** 3401 PGA BLVD, SUITE 430, PALM BEACH GARDENS, FL 33410-2825
- **Practice address phone:** (561) 776-8891
- **Practice address fax:** (561) 776-8503
- **Mailing address:** 3401 PGA BLVD STE 430, PALM BEACH GARDENS, FL 33410-2825
- **Mailing address phone:** (561) 776-8891
- **Mailing address fax:** (561) 776-8503

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | ME87728 | FL | Yes |

## Other

- **Enumeration date:** 12/17/2007
- **Last updated:** 07/07/2020