Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Peninsula Diagnostics PA

Organization Neurology Physician · NPI 1619207628

Peninsula Diagnostics PA is a Neurology Physician in Boca Raton, Florida. Licensed in Florida. Registered with an NPI since 2010.

Licensed in
FL
In the registry since
2010
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1355 W Palmetto Park Rd #282
Boca Raton, FL 33486-3330
Phone: (888) 395-4007
Fax: (888) 395-3941
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence ME30779 (FL)

Record details

NPI number1619207628
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Russell Packard — Owner · (888) 395-4007
NPI enumeratedJanuary 14, 2010
Last updated in NPPESJanuary 14, 2010
Mailing address1355 W Palmetto Park Rd, 282, Boca Raton, FL 33486-3330

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