Organization Name: | PALM BEACH FAMILY MEDICAL ASSOCIATES INC |
NPI Number: | 1710172929 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KATHLEEN S RATHBUN (PRESIDENT) |
Mailing Address: | 5700 Lake Worth Rd Ste 103 Greenacres |
State: | FL US |
Postal Code: | 334634727 |
Phone Number: | 5616497532 |
Fax Number: | 5616497535 |
NPI Enumeration Date: | 09/11/2007 |
NPI Last Update Date: | 02/13/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | OS7267 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |