Healthcare Provider Details

I. General information

NPI: 1578038071
Provider Name (Legal Business Name): PALM BEACH ORTHOPAEDIC SPECIALISTS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/10/2018
Last Update Date: 10/10/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2150 S CONGRESS AVE
PALM SPRINGS FL
33406-7604
US

IV. Provider business mailing address

PO BOX 870
PALM BEACH FL
33480-0870
US

V. Phone/Fax

Practice location:
  • Phone: 561-965-5200
  • Fax: 561-439-5028
Mailing address:
  • Phone: 561-315-9728
  • Fax: 561-439-5028

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. GRAHAM FRANK WHITFIELD
Title or Position: PRESIDENT
Credential: MD
Phone: 561-965-5200