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Organization
MEDERI OF PALM BEACH COUNTY, INC.
Active
Organization
MEDERI OF PALM BEACH COUNTY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. C. STEVEN GUENTHNER (SR VP, CFO)
(502) 891-1000
Entity
Organization
Contact information
Practice address
4723 W ATLANTIC AVE, STE A14, DELRAY BEACH, FL 33445-3895
(561) 381-1077
(561) 496-0357
Mailing address
9510 ORMSBY STATION RD, STE 300, LOUISVILLE, KY 40223-4081
(502) 891-1000
(502) 891-8067
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
20693096
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
H57
BLUE CROSS-BLUE SHIELD
FL
Enumeration date
09/23/2005
Last updated
08/22/2020
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