Organization
PALM BEACH HEART ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAY MIDWALL MD (PRESIDENT)
(561) 433-0591
Entity
Organization
Contact information
Practice address
5503 S CONGRESS AVE, SUITE 206, ATLANTIS, FL 33462-6625
(561) 433-0591
(561) 433-0891
Mailing address
5503 S CONGRESS AVE, SUITE 206, ATLANTIS, FL 33462-6625
(561) 433-0591
(561) 433-0891
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
—
FL
207RI0011X
Interventional Cardiology Physician
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
254158100
—
FL
01
—
97633
BCBS
FL
01
—
CL0618
MCR RR
FL
Enumeration date
06/19/2006
Last updated
01/23/2015
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