Healthcare Provider Details

I. General information

NPI: 1912266420
Provider Name (Legal Business Name): TENET FLORIDA PHYSICIAN SERVICES II, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2012
Last Update Date: 05/30/2023
Certification Date: 05/30/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 45TH ST KIMMEL BLDG
WEST PALM BEACH FL
33407-2413
US

IV. Provider business mailing address

PO BOX 20802
BELFAST ME
04915-4105
US

V. Phone/Fax

Practice location:
  • Phone: 561-844-5255
  • Fax: 561-844-5425
Mailing address:
  • Phone: 954-671-1455
  • Fax: 954-492-9461

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: BRIAN RASMUS
Title or Position: VP, CFO TPR TENET
Credential:
Phone: 469-893-2532