Organization
DOS OF PALM BEACH, INC.
Active
Other names
Palm Beach Shores Nursing and Subacute
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JORGE R HERNANDO (CFO)
(561) 844-8401
Entity
Organization
Contact information
Practice address
1101 54 STREET, WEST PALM BEACH, FL 33407-2419
(561) 844-8401
(561) 842-4658
Mailing address
1101 54 STREET, WEST PALM BEACH, FL 33407-2419
(561) 844-8401
(561) 842-4658
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
SNF1266096
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
N53
BLUE CROSS BLUE SHIELD
FL
Enumeration date
10/02/2006
Last updated
08/22/2020
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