Organization
PALM BEACH OSTEOPATHIC CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBORAH DODGE PHYSICIAN'S WIFE (AM)
(561) 324-9600
Entity
Organization
Contact information
Practice address
10887 N MILITARY TRL STE 5, PALM BEACH GARDENS, FL 33410-6528
(561) 324-9600
(561) 799-9980
Mailing address
10887 N MILITARY TRL STE 5, PALM BEACH GARDENS, FL 33410-6528
(561) 324-9600
(561) 799-9980
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
OS9152
FL
208D00000X
General Practice Physician
OS9152
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OS9152
FLORIDA MEDICAL LICENSE
FL
Enumeration date
05/22/2007
Last updated
11/16/2020
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