Organization
PALM BEACH CHILDREN'S ASSOCIATES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CONRAD VALENTINO WYNNE JR. M.D. (PRESIDENT)
(561) 641-6000
Entity
Organization
Contact information
Practice address
1860 FOREST HILL BLVD, STE 102, WEST PALM BEACH, FL 33406-6086
(561) 641-6000
(561) 641-6006
Mailing address
1860 FOREST HILL BLVD, STE 102, WEST PALM BEACH, FL 33406-6086
(561) 641-6000
(561) 641-6006
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME 0055058
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
015509
AETNA
FL
01
—
38361
BLUE CROSS BLUE SHIELD
FL
Enumeration date
05/01/2007
Last updated
08/22/2020
Update your record
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