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General NPI Number Information
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NPI Number | 1972066876
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Entity Type | Organization
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Legal Business Name | PULMONARY AND SLEEP MEDICINE OF PALM BEACH PLLC
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Dates
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Enumeration Date | 04/09/2019
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Last Update Date | 04/09/2019
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Provider Practice Location Address
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Address Line | 2623 S SEACREST BLVD STE 214
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City | BOYNTON BEACH
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State | FL
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Zip | 33435-7532
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Country | US
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Telephone | 561-602-3739
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Fax |
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Provider Business Mailing Address
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Address Line | 2623 S SEACREST BLVD STE 214
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City | BOYNTON BEACH
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State | FL
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Zip | 33435-7532
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Country | US
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Telephone | 561-602-3739
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. FERNANDO KELLER
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Credential | MD
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Telephone | 561-602-3739
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (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 | 207RS0012X
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Taxonomy Name | Sleep Medicine (Internal Medicine) 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 | 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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