Healthcare Provider Details

I. General information

NPI: 1154623023
Provider Name (Legal Business Name): HOSPICE OF PALM BEACH COUNTY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/29/2010
Last Update Date: 09/02/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 NORTHPOINT PKWY STE 301
WEST PALM BEACH FL
33407-1979
US

IV. Provider business mailing address

300 NORTHPOINT PKWY SUITE 301
WEST PALM BEACH FL
33407-1979
US

V. Phone/Fax

Practice location:
  • Phone: 561-242-2500
  • Fax: 561-845-7993
Mailing address:
  • Phone: 561-242-2500
  • Fax: 561-845-7993

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPH10599
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code3336M0002X
TaxonomyMail Order Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: DR. RAYMOND JAMES ZELHOF
Title or Position: DIRECTOR OF PHARMACY SERVICES
Credential: PHARMD, CPH
Phone: 561-242-2555