Wpb Medical Provider, Inc.

NPI 1043625718 - Clinic/Center - 261Q00000X

NPI Details
NPI 1043625718
Enumeration Date 06/21/2014
Last Updated 06/21/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name COLLEEN COLLEEN
Position PRACTICE ADMINISTRATOR
Phone (561) 822-2000
Fax
Practice Location
464 FERN ST
WEST PALM BEACH FL, 33401-5818, US
Phone (561) 822-2000
Fax
Business Location
464 FERN ST
WEST PALM BEACH FL, 33401-5818, US
Phone (561) 822-2000
Fax
Toxanomy
Taxonomy Code 261Q00000X
License State Florida
License Number 3201662
Remove 1043625718 NPI Number
 

According to our database, Wpb Medical Provider, Inc. NPI is 1043625718, taxonomy code is 261Q00000X and license number is 3201662, license state is located at Florida. Wpb Medical Provider, Inc. physically located at 464 Fern St, West Palm Beach FL, 33401-5818. NPI Number 1033115704 has the healthcare provider type.

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1043625718 NPI number is provided on an as is basis without warranty of any kind. 1043625718 is maintained by the National Plan & Provider Enumeration System. The contents of Wpb Medical Provider, Inc. are for informational purposes only.