MEDICARE: PALISADES MEDICAL 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	282N00000X	General Acute Care Hospital

General Provider Information

NPI Number	:	1417336728
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PALISADES MEDICAL CENTER

Provider Business Mailing Address
First Line	:	10348 PANAMA ST
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33026-4529
Country	:	US
Telephone Number	:	954-673-0047
Fax Number	:

Provider Business Practice Location Address
First Line	:	10348 PANAMA ST
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33026-4529
Country	:	US
Telephone Number	:	954-673-0047
Fax Number	:

Authorized Official
Title or Position	:	RESIDENT PHYSICIAN
Name	:	DR. DANIELLE KRISTINA BEHARIE
Credential	:	DO
Telephone Number	:	954-673-0047

Provider Enumeration Date	:	05/20/2015
Last Update Date	:	05/20/2015

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Directions to “PALISADES MEDICAL CENTER ” Practice Location

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