Organization Name: | DELRAY FAMILY PRACTICE INC |
NPI Number: | 1003007014 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOSEPH PALAZZOLO (PRESIDENT) |
Mailing Address: | 3816 Hollywood Blvd Suite 102 Hollywood |
State: | FL US |
Postal Code: | 330216750 |
Phone Number: | 9549872900 |
Fax Number: | 9549872986 |
NPI Enumeration Date: | 08/05/2007 |
NPI Last Update Date: | 09/26/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | HCC6603 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |