Organization
PALM BEACH NEUROLOGY
Active
Other names
Innovative Diagnostic Imaging
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRIS POLANCO (BILLING MGR)
(561) 296-3851
Entity
Organization
Contact information
Practice address
2151 45TH ST, SUITE 104, WEST PALM BEACH, FL 33407-2026
(561) 296-3652
(561) 296-3657
Mailing address
4631 N CONGRESS AVE, SUITE 200, WEST PALM BEACH, FL 33407-3209
(561) 845-0500
(561) 296-1101
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
02/06/2008
Last updated
01/28/2010
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