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Organization

INTEGRATED MEDICAL CENTER OF PALM BEACH

Active
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Organization

INTEGRATED MEDICAL CENTER OF PALM BEACH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LISA BASSETT-IPPOLITO (MANAGING MEMBER)
(561) 747-7707
Entity
Organization

Contact information

Practice address
920 W INDIANTOWN RD, SUITE 107, JUPITER, FL 33458-6847
(561) 747-7707
Mailing address
920 W INDIANTOWN RD, SUITE 107, JUPITER, FL 33458-6847

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
207X00000X
Orthopaedic Surgery Physician
Primary
—
NULL
207X00000X
Orthopaedic Surgery Physician
Primary
—
—

Other

Enumeration date
08/15/2013
Last updated
08/15/2013
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