NPI Code Details Logo

NPI 1376769240

NPI 1376769240 : PALM SPRINGS MEDICAL SERVICES INC : PEMBROKE PINES, FL

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1376769240
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    PALM SPRINGS MEDICAL SERVICES INC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    04/18/2007
-----------------------------------------------------
    Last Update Date     |    08/22/2020
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    12133 PEMBROKE RD 
-----------------------------------------------------
    City                 |    PEMBROKE PINES
-----------------------------------------------------
    State                |    FL
-----------------------------------------------------
    Zip                  |    33025-1727
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    954-430-2242
-----------------------------------------------------
    Fax                  |    954-430-2241
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    12133 PEMBROKE RD 
-----------------------------------------------------
    City                 |    PEMBROKE PINES
-----------------------------------------------------
    State                |    FL
-----------------------------------------------------
    Zip                  |    33025-1727
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    954-430-2242
-----------------------------------------------------
    Fax                  |    954-430-2241
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    MEDICAL DIRECTOR
-----------------------------------------------------
    Name                 |    DR. RAMON M GARCIA-SEPTIEN 
-----------------------------------------------------
    Credential           |    M.D
-----------------------------------------------------
    Telephone            |    954-430-2240
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    208D00000X
-----------------------------------------------------
    Taxonomy Name        |    General Practice Physician
-----------------------------------------------------
    License Number       |    ME0044890
-----------------------------------------------------
    License Number State |    FL
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.