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Organization
KIDNEY SPECIALISTS OF THE PALM BEACHES LLC
Active
Organization
KIDNEY SPECIALISTS OF THE PALM BEACHES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAN ISAAC ABRAHAM MD (MANAGER)
(561) 868-4846
Entity
Organization
Contact information
Practice address
11301 OKEECHOBEE BLVD, SUITE 5A, ROYAL PALM BEACH, FL 33411
(561) 283-0384
(561) 282-3238
Mailing address
11301 OKEECHOBEE BLVD, SUITE 5A, ROYAL PALM BEACH, FL 33411
(561) 283-0384
(561) 282-3238
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
ME83538
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
271936300
—
FL
01
—
94755
BLUE CROSS BLUE SHIELD
FL
Enumeration date
08/22/2006
Last updated
03/02/2015
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