MEDICARE: MEDICAL SPECIALISTS OF THE PALM BEACHES INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician
2	207RC0000X	Cardiovascular Disease Physician

General Provider Information

NPI Number	:	1033945167
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDICAL SPECIALISTS OF THE PALM BEACHES INC

Provider Business Mailing Address
First Line	:	7593 W BOYNTON BEACH BLVD STE 220
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33437-6162
Country	:	US
Telephone Number	:	561-649-7000
Fax Number	:

Provider Business Practice Location Address
First Line	:	12955 PALMS WEST DR STE 100
Second Line	:
City	:	LOXAHATCHEE
State	:	FL
Zip	:	33470-9212
Country	:	US
Telephone Number	:	561-967-5033
Fax Number	:	561-967-5424

Authorized Official
Title or Position	:	CEO
Name	:	CASEY WATERS
Credential	:
Telephone Number	:	561-649-7000

Provider Enumeration Date	:	09/13/2024
Last Update Date	:	09/13/2024

Similar Medicare Providers

1154316727 — DR. ARUL B CHIDAMBARAM MD
Practice Location Address:

12955 PALMS WEST DR STE 101
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33470-9212

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1043391808 — DR. COLETTE K BROWN-GRAHAM M.D.
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1487730545 — DR. DAXA PATEL M.D.
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33470-9212

Practice Phone: 561-792-0050
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1770716425 — HEATHER MARLISE CARMICHAEL ARNP
Practice Location Address:

12955 PALMS WEST DR STE 101
LOXAHATCHEE, FL
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1053699231 — NICOLE S DINOVITSER ARNP
Practice Location Address:

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1184039877 — DR. NATHAN D. WATSON DO
Practice Location Address:

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