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NPI 1740343615

NPI 1740343615 : MEDICAL SPECIALISTS OF THE PALM BEACHES INC : BOYNTON BEACH, FL

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General NPI Number Information
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    NPI Number           |    1740343615
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    Entity Type          |    Organization 
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    Legal Business Name  |    MEDICAL SPECIALISTS OF THE PALM BEACHES INC 
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Dates
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    Enumeration Date     |    12/19/2006
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    Last Update Date     |    03/03/2025
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Provider Practice Location Address
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    Address Line         |    7593 BOYNTON BEACH BLVD STE 220 
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    City                 |    BOYNTON BEACH
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    State                |    FL
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    Zip                  |    33437-6162
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    Country              |    US
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    Telephone            |    561-649-7000
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    Fax                  |    561-964-4603
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Provider Business Mailing Address
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    Address Line         |    7593 BOYNTON BEACH BLVD STE 220 
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    City                 |    BOYNTON BEACH
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    State                |    FL
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    Zip                  |    33437-6162
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    Country              |    US
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    Telephone            |    561-649-7000
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    Fax                  |    888-316-2198
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |     CASEY  WATERS 
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    Credential           |    
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    Telephone            |    561-649-7000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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Taxonomy #2
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    Taxonomy Code        |    207RC0000X
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    Taxonomy Name        |    Cardiovascular Disease Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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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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Taxonomy #4
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    Taxonomy Code        |    207RH0003X
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    Taxonomy Name        |    Hematology & Oncology Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #5
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    Taxonomy Code        |    207RI0011X
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    Taxonomy Name        |    Interventional Cardiology Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #6
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    Taxonomy Code        |    207RP1001X
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    Taxonomy Name        |    Pulmonary Disease Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #7
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    Taxonomy Code        |    207RR0500X
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    Taxonomy Name        |    Rheumatology Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #8
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    Taxonomy Code        |    207U00000X
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    Taxonomy Name        |    Nuclear Medicine Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #9
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    Taxonomy Code        |    2084N0400X
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    Taxonomy Name        |    Neurology Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #10
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    Taxonomy Code        |    2085R0202X
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    Taxonomy Name        |    Diagnostic Radiology Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #11
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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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