Healthcare Provider Details

I. General information

NPI: 1568537678
Provider Name (Legal Business Name): PALM BEACH INPATIENT SPECIALISTS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/22/2006
Last Update Date: 01/28/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1309 N FLAGLER DR
WEST PALM BEACH FL
33401-3406
US

IV. Provider business mailing address

1309 N FLAGLER DR
WEST PALM BEACH FL
33401-3406
US

V. Phone/Fax

Practice location:
  • Phone: 561-882-4541
  • Fax:
Mailing address:
  • Phone: 561-882-4541
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code173000000X
TaxonomyLegal Medicine
License NumberME79743
License Number StateFL

VIII. Authorized Official

Name: MRS. KAREN FLANNERY
Title or Position: DOCTOR
Credential: MD
Phone: 561-697-3357