| Wpb Medical Provider, Inc. | |
|
464 Fern St West Palm Beach FL 33401-5818 | |
| (561) 822-2000 | |
| Not Available |
| Full Name | Wpb Medical Provider, Inc. |
|---|---|
| Speciality | Clinic/center |
| Location | 464 Fern St, West Palm Beach, Florida |
| Authorized Official Name and Position | Colleen Parkhurst (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 5618222000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wpb Medical Provider, Inc. 464 Fern St West Palm Beach FL 33401-5818 Ph: (561) 822-2000 | Wpb Medical Provider, Inc. 464 Fern St West Palm Beach FL 33401-5818 Ph: (561) 822-2000 |
| NPI Number | 1043625718 |
|---|---|
| Provider Enumeration Date | 06/21/2014 |
| Last Update Date | 06/21/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043625718 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 3201662 (Florida) | Primary |
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