Organization
INTEGRATED MEDICAL CENTER OF PALM BEACH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA BASSETT-IPPOLITO (MANAGING MEMBER)
(561) 747-7707
Entity
Organization
Contact information
Practice address
920 W INDIANTOWN RD, SUITE 107, JUPITER, FL 33458-6847
(561) 747-7707
Mailing address
920 W INDIANTOWN RD, SUITE 107, JUPITER, FL 33458-6847
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
08/15/2013
Last updated
08/15/2013
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