Organization
CRESTHAVEN MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ISAAC THOMPSON MD (OWNER)
(561) 964-8557
Entity
Organization
Contact information
Practice address
4320 FOREST HILL BLVD, WEST PALM BEACH, FL 33406-5718
(561) 964-8557
Mailing address
4320 FOREST HILL BLVD, WEST PALM BEACH, FL 33406-5718
(561) 964-8557
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
ME 0063531
FL
208000000X
Pediatrics Physician
Primary
ME71736
FL
Other
Enumeration date
01/30/2009
Last updated
01/30/2009
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