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General NPI Number Information
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NPI Number | 1336843325
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Entity Type | Organization
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Legal Business Name | INTERNAL MEDICINE CARE OF THE PALM BEACHES PA
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Dates
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Enumeration Date | 03/27/2023
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Last Update Date | 03/15/2025
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Provider Practice Location Address
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Address Line | 3345 BURNS RD STE 202
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33410-4305
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Country | US
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Telephone | 954-638-8615
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Fax | 954-635-5513
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Provider Business Mailing Address
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Address Line | 3345 BURNS RD STE 202
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33410-4305
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Country | US
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Telephone | 954-638-8615
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Fax | 954-635-5513
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Authorized Official
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Title or Position | PD
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Name | MICHAEL FITZALLEN AMBROSE
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Credential | MD
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Telephone | 954-638-8615
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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