Organization
PALM BEACH NEUROLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRIS POLANCO (BILLING MGR)
(561) 296-3851
Entity
Organization
Contact information
Practice address
4631 NOTH CONGRESS AVE, 200, WEST PALM BEACH, FL 33407
(561) 845-0500
(561) 296-1101
Mailing address
4631 NORTH CONGRESS AVE, 200, WEST PALM BEACH, FL 33407
(561) 845-0500
(561) 296-1101
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CG1538
RAILROAD MEDICARE
FL
Enumeration date
02/20/2007
Last updated
03/02/2010
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