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NPI Code Detail

MEDICARE: PALM BEACH ATLANTIC UNIVERSITY

MEDICARE: PALM BEACH ATLANTIC UNIVERSITY
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
12081S0010XSports Medicine (Physical Medicine & Rehabilitation) Physician

General Provider Information

NPI Number : 1689044687
Entity Type Code : Organization
Provider Name (Legal Business Name) : PALM BEACH ATLANTIC UNIVERSITY
Provider Business Mailing Address
First Line : 901 S FLAGER DR
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33401-6505
Country : US
Telephone Number : 561-803-2338
Fax Number : 561-370-7048
Provider Business Practice Location Address
First Line : 901 S FLAGER DR
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33401-6505
Country : US
Telephone Number : 561-803-2338
Fax Number : 561-370-7048
Authorized Official
Title or Position : ATHLETIC TRAINING ADMINISTRATOR
Name : MRS. MICHELLE MENARD III
Credential : DHSC, LAT, ATC
Telephone Number : 561-803-2338
Provider Enumeration Date : 10/02/2015
Last Update Date : 10/15/2025

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Directions to “PALM BEACH ATLANTIC UNIVERSITY ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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