Healthcare Provider Details

I. General information

NPI: 1699111211
Provider Name (Legal Business Name): TENET FLORIDA PHYSICIAN SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2013
Last Update Date: 06/23/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1411 N FLAGLER DR SUITE 8000
WEST PALM BEACH FL
33401-3404
US

IV. Provider business mailing address

9960 CENTRAL PARK BLVD N STE 400
BOCA RATON FL
33428-1759
US

V. Phone/Fax

Practice location:
  • Phone: 561-650-6231
  • Fax:
Mailing address:
  • Phone: 461-288-5500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

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