MEDICARE: ATLAS JOINT AND SPINE CENTER

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	261QM1300X	Multi-Specialty Clinic/Center

General Provider Information

NPI Number	:	1144939422
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ATLAS JOINT AND SPINE CENTER

Provider Business Mailing Address
First Line	:	3537 FOREST HILL BLVD
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33406-5867
Country	:	US
Telephone Number	:	561-823-9998
Fax Number	:

Provider Business Practice Location Address
First Line	:	3537 FOREST HILL BLVD
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33406-5867
Country	:	US
Telephone Number	:	561-823-9998
Fax Number	:	561-823-9997

Authorized Official
Title or Position	:	BILLING MANAGER
Name	:	MS. CHIARA DELUCIA
Credential	:
Telephone Number	:	973-423-9100

Provider Enumeration Date	:	11/16/2022
Last Update Date	:	11/16/2022

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Directions to “ATLAS JOINT AND SPINE CENTER ” Practice Location

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