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PALM BEACH HEART & VASCULAR LLC NPI 1174174239


NPI Information

NPI: 1174174239
Provider Name: PALM BEACH HEART & VASCULAR, LLC
Classification: Internal Medicine - 207RI0011X
Entity Type: Organization

Specialization: Interventional Cardiology

CLIA Number: 10D2189706

Address:
2609 W WOOLBRIGHT RD STE 4
BOYNTON BEACH, FL
ZIP 33436
Phone: (561) 500-5347
Get Directions

PALM BEACH HEART & VASCULAR, LLC is an interventional cardiology internal medicine in Boynton Beach, FL. The provider is an area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. PALM BEACH HEART & VASCULAR, LLC NPI is 1174174239. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

2609 W WOOLBRIGHT RD STE 4
BOYNTON BEACH, FL
ZIP 33436-634
Phone: (561) 500-5347
Fax: (561) 264-5347

The provider's authorized official is Paul Michael .
The authorized official title is President and has the following contact phone number (561) 500-5347.

The CLIA number assigned to this NPI record is 10D2189706 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 9/20/2019 and was last updated on 8/27/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RC0000XInternal MedicineCardiovascular DiseaseNo
2207RI0011XInternal MedicineInterventional CardiologyYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1015021200MEDICAIDFLORIDA

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: 11/14/2023

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