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PALM BEACH NEUROLOGY NPI 1831377308


NPI Information

NPI: 1831377308
Provider Name: PALM BEACH NEUROLOGY

Doing Business As: INNOVATIVE DIAGNOSTIC IMAGING

Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
2151 45TH ST
SUITE 104
WEST PALM BEACH, FL
ZIP 33407
Phone: (561) 296-3652
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PALM BEACH NEUROLOGY is a neurology psychiatry neurology in West Palm Beach, 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 1831377308. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Innovative Diagnostic Imaging.

The provider's business location address is:

2151 45TH ST
SUITE 104
WEST PALM BEACH, FL
ZIP 33407-026
Phone: (561) 296-3652
Fax: (561) 296-3657

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 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084N0400XPsychiatry & NeurologyNeurologyYes

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
198361MEDICARE PINFLORIDA

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: 4/28/2024

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