Organization Name: | PSHS ALPHA PARTNERS LTD |
NPI Number: | 1033106612 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | NANCY CASTELLANA (PROVIDER RELATIONS DIRECTOR) |
Mailing Address: | 7597 Lake Worth Rd Lake Worth |
State: | FL US |
Postal Code: | 334672532 |
Phone Number: | 5614335700 |
Fax Number: | 5614335901 |
NPI Enumeration Date: | 09/29/2005 |
NPI Last Update Date: | 11/13/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QA1903X |
License Number: | 1069 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Ambulatory Surgical |
Taxonomy Definition: |