MEDICARE: PALM BEACH HEALTH CENTER EAST PLLC

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	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1043911704
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PALM BEACH HEALTH CENTER EAST PLLC

Provider Business Mailing Address
First Line	:	7420 S DIXIE HWY
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33405-4812
Country	:	US
Telephone Number	:	561-333-8353
Fax Number	:

Provider Business Practice Location Address
First Line	:	7420 S DIXIE HWY
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33405-4812
Country	:	US
Telephone Number	:	561-333-8353
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MATTHEW B SYMONS
Credential	:	DC
Telephone Number	:	561-333-8353

Provider Enumeration Date	:	03/10/2023
Last Update Date	:	03/10/2023

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