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Organization

PALM SPRINGS INTERNAL MEDICINE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JUANITA BERMAN (OFFICE MANAGER)
(561) 439-4480
Entity
Organization

Contact information

Practice address
5053 S CONGRESS AVE, SUITE 202, LAKE WORTH, FL 33461-4706
(561) 439-4480
(561) 641-6626
Mailing address
5053 S CONGRESS AVE, SUITE 202, LAKE WORTH, FL 33461-4706
(561) 439-4480
(561) 641-6626

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME47911
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
061482300
FL
Enumeration date
10/24/2006
Last updated
12/18/2012
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