PALM BEACH NEUROLOGY NPI 1578741070

NPI Information

NPI: 1578741070
Provider Name: PALM BEACH NEUROLOGY
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

CLIA Number: 10D0683133

Address:
4889 S CONGRESS AVE
SUITE 201
LAKE WORTH, FL
ZIP 33461
Phone: (561) 967-6595
Get Directions

PALM BEACH NEUROLOGY is a neurology psychiatry neurology in Lake Worth, FL. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. PALM BEACH NEUROLOGY NPI is 1578741070. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4889 S CONGRESS AVE
SUITE 201
LAKE WORTH, FL
ZIP 33461-762
Phone: (561) 967-6595
Fax: (561) 967-2465

The provider's authorized official is Chris Polanco .
The authorized official title is Billing Mgr and has the following contact phone number (561) 296-3851.

The CLIA number assigned to this NPI record is 10D0683133 - public health laboratories with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 2/6/2008 and was last updated on 1/28/2010.

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
1	2084N0400X	Psychiatry & Neurology	Neurology			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	98361	MEDICARE PIN	FLORIDA

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: 5/5/2024

NPI Synchronization or Removal

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