Healthcare Provider Details

I. General information

NPI: 1275747073
Provider Name (Legal Business Name): RHEUMATOLOGY AND ENDOCRINOLOGY SPECIALISTS OF THE PALM BEACHES, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/10/2007
Last Update Date: 06/11/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5155 CORPORATE WAY SUITE C
JUPITER FL
33458
US

IV. Provider business mailing address

5155 CORPORATE WAY SUITE C
JUPITER FL
33458-4356
US

V. Phone/Fax

Practice location:
  • Phone: 561-932-1212
  • Fax:
Mailing address:
  • Phone: 561-932-1212
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License NumberME79307
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License NumberME79309
License Number StateFL

VIII. Authorized Official

Name: DR. ADAM SCOTT BARRON
Title or Position: DIRECTOR
Credential: M.D.
Phone: 561-932-1212