PENINSULA DIAGNOSTICS PA NPI 1619207628

NPI Information

PENINSULA DIAGNOSTICS PA is a neurology psychiatry neurology in Boca Raton, 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. PENINSULA DIAGNOSTICS PA NPI is 1619207628. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1355 W PALMETTO PARK RD
#282
BOCA RATON, FL
ZIP 33486-330
Phone: (888) 395-4007
Fax: (888) 395-3941

The provider's authorized official is Russell Packard .
The authorized official title is Owner and has the following contact phone number (888) 395-4007.

The enumeration date for this NPI number is 1/14/2010 and was last updated on 1/14/2010.

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:

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