Healthcare Provider Details

I. General information

NPI: 1396942900
Provider Name (Legal Business Name): MEDICAL ASSOCIATES OF PALM BEACHES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/27/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6635 FOREST HILL BLVD
GREENACRES FL
33413-3354
US

IV. Provider business mailing address

6635 FOREST HILL BLVD
GREENACRES FL
33413-3354
US

V. Phone/Fax

Practice location:
  • Phone: 561-969-3808
  • Fax:
Mailing address:
  • Phone: 561-969-3808
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. STEVE JANJIC
Title or Position: MANAGING DIRECTOR
Credential: M.D.
Phone: 561-969-3808