MEDICARE: INTERNAL MEDICINE ASSOCIATES OF THE PALM BEACHES PA

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	ME0065507	FL
2	207R00000X	Internal Medicine Physician

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	DB0979	OTHER		RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	38486	OTHER	FL	BLUE CROSS FLORIDA

General Provider Information

NPI Number	:	1285655175
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INTERNAL MEDICINE ASSOCIATES OF THE PALM BEACHES PA

Provider Business Mailing Address
First Line	:	P.O. BOX 8296
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33407-0296
Country	:	US
Telephone Number	:	561-366-8408
Fax Number	:	561-366-8405

Provider Business Practice Location Address
First Line	:	1411 NO. FLAGLER DRIVE
Second Line	:	SUITE 4300
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33401-3422
Country	:	US
Telephone Number	:	561-366-8408
Fax Number	:	561-366-8405

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DEAN S. MANN
Credential	:	M.D.
Telephone Number	:	561-366-8408

Provider Enumeration Date	:	07/23/2006
Last Update Date	:	10/06/2017

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Directions to “INTERNAL MEDICINE ASSOCIATES OF THE PALM BEACHES PA ” Practice Location

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