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General NPI Number Information
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NPI Number | 1336397066
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Entity Type | Organization
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Legal Business Name | DIGESTIVE CENTER OF THE PALM BEACHES
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Dates
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Enumeration Date | 09/06/2008
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Last Update Date | 06/05/2012
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Provider Practice Location Address
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Address Line | 1117 N OLIVE AVE SUITE 203
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City | WEST PALM BEACH
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State | FL
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Zip | 33401-3520
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Country | US
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Telephone | 561-659-5466
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Fax | 561-659-5493
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Provider Business Mailing Address
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Address Line | PO BOX 1695
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City | WEST PALM BEACH
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State | FL
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Zip | 33402-1695
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Country | US
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Telephone | 561-659-5466
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | SALVATORE SENZATIMORE JR.
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Credential | MD
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Telephone | 561-659-5466
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number |
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License Number State |
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