Organization
KIDNEY SPECIALISTS OF THE PALM BEACHES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAN ISAAC ABRAHAM MD (MANAGER)
(561) 868-4846
Entity
Organization
Contact information
Practice address
11301 OKEECHOBEE BLVD, SUITE 5A, ROYAL PALM BEACH, FL 33411
(561) 283-0384
(561) 282-3238
Mailing address
11301 OKEECHOBEE BLVD, SUITE 5A, ROYAL PALM BEACH, FL 33411
(561) 283-0384
(561) 282-3238
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
ME83538
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
271936300
—
FL
01
—
94755
BLUE CROSS BLUE SHIELD
FL
Enumeration date
08/22/2006
Last updated
03/02/2015
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