Healthcare Provider Details

I. General information

NPI: 1578714465
Provider Name (Legal Business Name): HYPERBARICS OF PALM BEACH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/09/2008
Last Update Date: 03/03/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2700 PGA BLVD SUITE 103
PALM BEACH GARDENS FL
33410-2958
US

IV. Provider business mailing address

200 MERCHANT ST
HILTON HEAD SC
29926-1649
US

V. Phone/Fax

Practice location:
  • Phone: 561-691-5680
  • Fax: 561-691-5679
Mailing address:
  • Phone: 843-681-1811
  • Fax: 843-689-7150

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207PE0005X
TaxonomyUndersea and Hyperbaric Medicine (Emergency Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. KEITH C KLINE
Title or Position: EVP
Credential:
Phone: 843-681-1811