MEDICARE: HOSPICE OF PALM BEACH COUNTY, 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	3336H0001X	Home Infusion Therapy Pharmacy
2	3336M0002X	Mail Order Pharmacy
3	3336L0003X	Long Term Care Pharmacy
4	3336C0003X	Community/Retail Pharmacy	PH10599	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2121274	OTHER		PK

General Provider Information

NPI Number	:	1154623023
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOSPICE OF PALM BEACH COUNTY, INC.

Provider Business Mailing Address
First Line	:	300 NORTHPOINT PKWY
Second Line	:	SUITE 301
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33407-1979
Country	:	US
Telephone Number	:	561-242-2500
Fax Number	:	561-845-7993

Provider Business Practice Location Address
First Line	:	300 NORTHPOINT PKWY STE 301
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33407-1979
Country	:	US
Telephone Number	:	561-242-2500
Fax Number	:	561-845-7993

Authorized Official
Title or Position	:	DIRECTOR OF PHARMACY SERVICES
Name	:	DR. RAYMOND JAMES ZELHOF
Credential	:	PHARMD, CPH
Telephone Number	:	561-242-2555

Provider Enumeration Date	:	11/29/2010
Last Update Date	:	09/02/2015

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