Organization
CABBAGE PALM INPATIENT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN VAUGHN (AUTHORIZED OFFICIAL)
(404) 450-4684
Entity
Organization
Contact information
Practice address
1301 KANSAS AVE, SAINT CLOUD, FL 34769-5921
(954) 939-5000
Mailing address
PO BOX 80324, PHILADELPHIA, PA 19101-1324
(954) 939-5000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
03/25/2024
Last updated
03/25/2024
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