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Organization
SURGICAL ONCOLOGY OF SOUTH PALM BEACH PA
Active
Organization
SURGICAL ONCOLOGY OF SOUTH PALM BEACH PA
Active
Other names
Surgical Oncology of South Palm Beach County
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEE ALAN PORTERFIELD M.D. (OWNER)
(561) 395-3344
Entity
Organization
Contact information
Practice address
875 MEADOWS RD, SUITE #331, BOCA RATON, FL 33486-2349
(561) 347-5656
Mailing address
714 COQUINA CT, BOCA RATON, FL 33432-3004
(561) 392-6220
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
ME35565
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
039345200
—
FL
01
—
95453
BLUE CROSS BLUE SHIELD OF FLA
FL
01
—
AD286
MEDICARE GROUP PIN
FL
01
—
ME35565
LICENSE
FL
01
—
P00439656
RAILROAD MEDICARE
FL
Enumeration date
01/04/2007
Last updated
03/07/2023
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