Organization
WPB MEDICAL PROVIDER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. COLLEEN PARKHURST (PRACTICE ADMINISTRATOR)
(561) 822-2000
Entity
Organization
Contact information
Practice address
464 FERN ST, WEST PALM BEACH, FL 33401-5818
(561) 822-2000
Mailing address
464 FERN ST, WEST PALM BEACH, FL 33401-5818
(561) 822-2000
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
3201662
FL
Other
Enumeration date
06/21/2014
Last updated
06/21/2014
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