PALM BEACH NEUROLOGY NPI 1710133467

NPI Information

  • NPI: 1710133467
  • Provider Name: PALM BEACH NEUROLOGY
  • Classification: Psychiatry & Neurology - 2084N0600X
  • Specialization: Clinical Neurophysiology
  • Entity Type: Organization
  • Address: 2151 45TH STREET
    102
    WEST PALM BEACH, FL
    ZIP 33407
  • Phone: (561) 296-4120

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NPI Details

PALM BEACH NEUROLOGY is a clinical neurophysiology psychiatry neurology in West Palm Beach, FL. The provider is clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS). PALM BEACH NEUROLOGY NPI is 1710133467. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2151 45TH STREET
102
WEST PALM BEACH, FL
ZIP 33407
Phone: (561) 296-4120
Fax: (561) 296-3657

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

The enumeration date for this NPI number is 8/13/2008 and was last updated on 3/2/2010.

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
12084N0600XPsychiatry & NeurologyClinical NeurophysiologyYes

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
198361MEDICARE PIN
298361MEDICARE PINFLORIDA

What is NPI?

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This page was last updated on: 11/21/2025

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