Pediatric Neurologists Of Palm Beach | |
12959 Palms West Drive Suite 120 Loxahatchee FL 33470 | |
(561) 753-8888 | |
(561) 795-5004 |
Full Name | Pediatric Neurologists Of Palm Beach |
---|---|
Speciality | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology |
Location | 12959 Palms West Drive, Loxahatchee, Florida |
Authorized Official Name and Position | Tonya Mizell Martin (OFFICE MANAGER) |
Authorized Official Contact | 5617538888 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Pediatric Neurologists Of Palm Beach 12959 Palms West Drive Suite 120 Loxahatchee FL 33470 Ph: (561) 753-8888 | Pediatric Neurologists Of Palm Beach 12959 Palms West Drive Suite 120 Loxahatchee FL 33470 Ph: (561) 753-8888 |
NPI Number | 1427250455 |
---|---|
Provider Enumeration Date | 06/01/2007 |
Last Update Date | 10/08/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1427250455 | NPI | - | NPPES |
273110000 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0402X | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology | ME79332 (Florida) | Primary |
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