Healthcare Provider Details

I. General information

NPI: 1689600280
Provider Name (Legal Business Name): NATIONAL MEDICAL SERVICES II INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2006
Last Update Date: 03/23/2020
Certification Date: 03/23/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

927 45TH ST SUITE 204
WEST PALM BEACH FL
33407-2450
US

IV. Provider business mailing address

PO BOX 404596
ATLANTA GA
30384-0001
US

V. Phone/Fax

Practice location:
  • Phone: 561-882-6060
  • Fax: 561-882-4622
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2086S0127X
TaxonomyTrauma Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: MARSHA D. POWERS
Title or Position: SVP REGIONAL OPERATIONS, HEALTHCARE
Credential:
Phone: 954-509-3671