Healthcare Provider Details

I. General information

NPI: 1497821375
Provider Name (Legal Business Name): OAKWOOD CENTER OF THE PALM BEACHES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/24/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1041 45TH ST
WEST PALM BEACH FL
33407-2402
US

IV. Provider business mailing address

1041 45TH ST
WEST PALM BEACH FL
33407-2402
US

V. Phone/Fax

Practice location:
  • Phone: 561-383-8000
  • Fax: 561-514-1275
Mailing address:
  • Phone: 561-383-8000
  • Fax: 561-514-1275

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code283Q00000X
TaxonomyPsychiatric Hospital
License Number3980
License Number StateFL

VIII. Authorized Official

Name: MS. ALICE K. MOSIER I
Title or Position: CREDENTIALING AND PRIVILEGING COORD
Credential: RHIA
Phone: 561-383-5719