MEDICARE: UNIQUE FAMILY CARE OF THE PALM BEACHES 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	332B00000X	Durable Medical Equipment & Medical Supplies	1313164	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	M2735	OTHER	FL	BCBS

General Provider Information

NPI Number	:	1538159884
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNIQUE FAMILY CARE OF THE PALM BEACHES INC

Provider Business Mailing Address
First Line	:	421 NORTHLAKE BLVD
Second Line	:	SUITE H
City	:	NORTH PALM BEACH
State	:	FL
Zip	:	33408-5413
Country	:	US
Telephone Number	:	561-845-7000
Fax Number	:	561-845-3777

Provider Business Practice Location Address
First Line	:	421 NORTHLAKE BLVD
Second Line	:	SUITE H
City	:	NORTH PALM BEACH
State	:	FL
Zip	:	33408-5413
Country	:	US
Telephone Number	:	561-845-7000
Fax Number	:	561-845-3777

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MS. CINDY MARIE GOEGELMAN-KEREKESS
Credential	:	ARNP
Telephone Number	:	561-845-7000

Provider Enumeration Date	:	10/27/2005
Last Update Date	:	09/24/2008

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