Healthcare Provider Details

I. General information

NPI: 1144058306
Provider Name (Legal Business Name): PRIORITY PEDIATRICS OF THE PALM BEACHES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2024
Last Update Date: 07/22/2024
Certification Date: 07/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3047 S DIXIE HWY APT 501
WEST PALM BEACH FL
33405-1567
US

IV. Provider business mailing address

3047 S DIXIE HWY APT 501
WEST PALM BEACH FL
33405-1567
US

V. Phone/Fax

Practice location:
  • Phone: 561-840-5950
  • Fax: 561-916-3820
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: MISS CORINNE ALTHAUSER
Title or Position: OWNER/DIRECTOR
Credential: DO
Phone: 954-383-4668