Organization
CENTRAL PALM BEACH PHYSICIANS & URGENT CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUSS MARC SEGER D.C. (PRESIDENT OWNER)
(561) 967-8888
Entity
Organization
Contact information
Practice address
6110 S CONGRESS AVE, LANTANA, FL 33462-2320
(561) 649-8686
(561) 721-9029
Mailing address
6110 S CONGRESS AVE, LANTANA, FL 33462-2320
(561) 649-8686
(561) 721-9029
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
HCC5950
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24454
MEDICARE GROUP NUMBER
FL
Enumeration date
10/04/2007
Last updated
10/04/2007
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