Organization
NORTHSOUTH MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AL JEROME (PRESIDENT)
(561) 684-0710
Entity
Organization
Contact information
Practice address
4676 OKEECHOBEE BLVD, WEST PALM BEACH, FL 33417-4624
(561) 684-0710
Mailing address
4676 OKEECHOBEE BLVD, WEST PALM BEACH, FL 33417-4624
(561) 684-0710
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
3028
FL
Other
Enumeration date
10/08/2009
Last updated
10/08/2009
About Stedi
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