Healthcare Provider Details

I. General information

NPI: 1962237776
Provider Name (Legal Business Name): TMS OF PALM BEACH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/03/2024
Last Update Date: 09/24/2024
Certification Date: 09/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8000 N FEDERAL HWY STE 110
BOCA RATON FL
33487-1681
US

IV. Provider business mailing address

2500 E LAS OLAS BLVD APT 1009
FT LAUDERDALE FL
33301-1586
US

V. Phone/Fax

Practice location:
  • Phone: 561-800-1681
  • Fax: 860-783-5590
Mailing address:
  • Phone: 561-945-9751
  • Fax: 860-783-5590

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: CHRISTOPHER CASTRONOVA
Title or Position: OWNER
Credential:
Phone: 561-945-9751