| Organization Name: | PALM BEACH OSTEOPATHIC CARE, INC. |
| NPI Number: | 1497964407 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | STANLEY WALTER WISNIOSKI (PRESIDENT AND CEO) |
| Mailing Address: | 649 Us Highway 1 Suite 12a North Palm Beach |
| State: | FL US |
| Postal Code: | 334084600 |
| Phone Number: | 5613249600 |
| Fax Number: | 5617999980 |
| NPI Enumeration Date: | 05/22/2007 |
| NPI Last Update Date: | 07/05/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | OS9152 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |