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Organization
PALM BEACH PHYSICIANS GROUP INC
Active
Organization
PALM BEACH PHYSICIANS GROUP INC
Active
Other names
Palm Beach Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MINERVA ELLIS DO (CHAIRMAN)
(561) 840-4600
Entity
Organization
Contact information
Practice address
4601 N CONGRESS AVE STE 200, WEST PALM BEACH, FL 33407-3381
(561) 840-4600
(561) 840-4680
Mailing address
4601 N CONGRESS AVE STE 200, WEST PALM BEACH, FL 33407-3381
(561) 840-4600
(561) 840-4680
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME49828
FL
207R00000X
Internal Medicine Physician
ME90839
FL
207R00000X
Internal Medicine Physician
Primary
OS11360
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K3557
MEDICARE GROUP PTAN
FL
Enumeration date
02/13/2006
Last updated
05/14/2026
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