IDL MEDICAL PA NPI 1487839635

NPI Information

  • NPI: 1487839635
  • Provider Name: IDL MEDICAL PA
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • CLIA Number: 10D2090652
  • Address: 8767 BOYNTON BEACH BLVD
    BOYNTON BEACH, FL
    ZIP 33472
  • Phone: (561) 734-5484

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NPI Details

IDL MEDICAL PA is a family medicine in Boynton Beach, FL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. IDL MEDICAL PA NPI is 1487839635. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

8767 BOYNTON BEACH BLVD
BOYNTON BEACH, FL
ZIP 33472-479
Phone: (561) 734-5484
Fax: (561) 734-5485

The provider's authorized official is Diana Gorokhovksy .
The authorized official title is President and has the following contact phone number (305) 725-5529.

The CLIA number assigned to this NPI record is 10D2090652 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 1/7/2008 and was last updated on 6/14/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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