| NPI Details | |
|---|---|
| NPI | 1245635978 |
| Enumeration Date | 10/23/2014 |
| Last Updated | 10/23/2014 |
| Entity Type | Healthcare Provider |
| Active | Over 3 years ago |
| Authorized Information | |
|---|---|
| Name | BRUCE BRUCE |
| Position | PRESIDENT |
| Phone | (561) 686-3201 |
| Fax | |
| Practice Location | |
|---|---|
| 1501 PRESIDENTIAL WAY STE 19 WEST PALM BEACH FL, 33401-1852, US |
|
| Phone | (561) 686-3201 |
| Fax | |
| Business Location | |
|---|---|
| 1501 PRESIDENTIAL WAY STE 19 WEST PALM BEACH FL, 33401-1852, US |
|
| Phone | (561) 686-3201 |
| Fax | |
| Toxanomy | |
|---|---|
| Taxonomy Code | 111NR0400X |
| License State | Florida |
| License Number | CH0007758 |
| Remove 1245635978 NPI Number | |
According to our database, Polo Medical Center NPI is 1245635978, taxonomy code is 111NR0400X and license number is CH0007758, license state is located at Florida. Polo Medical Center physically located at 1501 Presidential Way Ste 19, West Palm Beach FL, 33401-1852. NPI Number 1033115704 has the healthcare provider type.
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1245635978 NPI number is provided on an as is basis without warranty of any kind. 1245635978 is maintained by the National Plan & Provider Enumeration System. The contents of Polo Medical Center are for informational purposes only.
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