Healthcare Provider Details

I. General information

NPI: 1679700496
Provider Name (Legal Business Name): OB-GYN ASSOCIATES OF THE PALM BEACHES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2009
Last Update Date: 06/19/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5150 LINTON BLVD SUITE 210
DELRAY BEACH FL
33484-6543
US

IV. Provider business mailing address

5150 LINTON BLVD SUITE 210
DELRAY BEACH FL
33484-6543
US

V. Phone/Fax

Practice location:
  • Phone: 561-894-7006
  • Fax: 561-894-7007
Mailing address:
  • Phone: 561-894-7006
  • Fax: 561-894-7007

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberME94801
License Number StateFL

VIII. Authorized Official

Name: KENDY VERPILE
Title or Position: OWNER
Credential: MD
Phone: 561-894-7006