Organization
PALM BEACH CANCER INSTITUTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GENAY SEMINARA (CONTRACTING / CREDENTIALING MGR)
(561) 366-4104
Entity
Organization
Contact information
Practice address
1309 N FLAGLER DR, WEST PALM BEACH, FL 33401-3406
(561) 366-4100
(561) 366-4189
Mailing address
1309 N FLAGLER DR, WEST PALM BEACH, FL 33401-3406
(561) 366-4100
(561) 366-4189
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
3884-1
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
V3181
IDTF - BCBS
FL
Enumeration date
02/22/2008
Last updated
02/22/2008
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