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NPI Code Detail

MEDICARE: CENTRAL PALM BEACH PHYSICIANS & URGENT CARE, INC.

MEDICARE: CENTRAL PALM BEACH PHYSICIANS & URGENT CARE, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialistHCC5777FL

General Provider Information

NPI Number : 1033256003
Entity Type Code : Organization
Provider Name (Legal Business Name) : CENTRAL PALM BEACH PHYSICIANS & URGENT CARE, INC.
Provider Business Mailing Address
First Line : 4623 FOREST HILL BLVD
Second Line : SUITE 101
City : WEST PALM BEACH
State : FL
Zip : 33415-9120
Country : US
Telephone Number : 561-966-7194
Fax Number : 561-966-7191
Provider Business Practice Location Address
First Line : 4623 FOREST HILL BLVD
Second Line : SUITE 110
City : WEST PALM BEACH
State : FL
Zip : 33415-7469
Country : US
Telephone Number : 561-296-9988
Fax Number : 561-967-4944
Authorized Official
Title or Position : CEO / PRESIDENT
Name : DR. RUSS M SEGER
Credential : DC
Telephone Number : 561-967-8888
Provider Enumeration Date : 01/31/2007
Last Update Date : 01/05/2017

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1417074691 — CENTRAL PALM BEACH PHYSICIANS & URGENT CARE INC
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33415-7469
Practice Phone: 561-967-8888
Practice Fax: 561-641-8303

Directions to “CENTRAL PALM BEACH PHYSICIANS & URGENT CARE, INC. ” Practice Location

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