Healthcare Provider Details

I. General information

NPI: 1073551750
Provider Name (Legal Business Name): SOUTH PALM BEACH MEDICAL SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 N DIXIE HWY STE 4
LAKE WORTH FL
33460-6244
US

IV. Provider business mailing address

2000 N DIXIE HWY STE 4
LAKE WORTH FL
33460-6244
US

V. Phone/Fax

Practice location:
  • Phone: 561-540-3695
  • Fax: 561-540-3696
Mailing address:
  • Phone: 561-540-3695
  • Fax: 561-540-3696

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: NORWING R SILVA
Title or Position: PRESIDENT
Credential:
Phone: 561-540-3695