Organization
PALM BEACH PATHOLOGY, PA
Active
Other names
Palm Beach Gardens Pathology Assocciates
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS A BOLTON MD (PRESIDENT)
(954) 240-9555
Entity
Organization
Contact information
Practice address
3360 BURNS RD, PALM BEACH GARDENS, FL 33410-4323
(954) 240-9555
Mailing address
PO BOX 4117, WEST PALM BEACH, FL 33402-4117
(954) 240-9555
(770) 776-5966
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
258264300
—
FL
01
—
97880
BLUE CROSS BLUE SHIELD
FL
Enumeration date
04/28/2008
Last updated
09/20/2010
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