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Organization
PALM WEST INTERNISTS PA
Active
Organization
PALM WEST INTERNISTS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANAIS HERNANDEZ (OFFICE MANAGER)
(561) 790-5666
Entity
Organization
Contact information
Practice address
13005 SOUTHERN BLVD, SUITE 241, LOXAHATCHEE, FL 33470-9206
(561) 790-5666
(561) 790-5668
Mailing address
13005 SOUTHERN BLVD, SUITE 241, LOXAHATCHEE, FL 33470-9206
(561) 790-5666
(561) 790-5668
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME0041459
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
373162600
—
FL
Enumeration date
09/20/2006
Last updated
06/01/2015
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