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NPI Code Detail

MEDICARE: MEDICAL SPECIALISTS OF THE PALM BEACHES INC

MEDICARE: MEDICAL SPECIALISTS 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
1207RC0000XCardiovascular Disease Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1659314854
Entity Type Code : Organization
Provider Name (Legal Business Name) : MEDICAL SPECIALISTS OF THE PALM BEACHES INC
Provider Business Mailing Address
First Line : 5700 LAKE WORTH RD
Second Line : #204
City : GREENACRES
State : FL
Zip : 33463-4727
Country : US
Telephone Number : 561-968-7968
Fax Number : 561-964-4603
Provider Business Practice Location Address
First Line : 8440 LAKE WORTH RD STE 100
Second Line :
City : ATLANTIS
State : FL
Zip : 33462-6636
Country : US
Telephone Number : 561-967-5033
Fax Number : 561-967-5424
Authorized Official
Title or Position : CEO
Name : CASEY WATERS
Credential :
Telephone Number : 561-649-7000
Provider Enumeration Date : 06/14/2006
Last Update Date : 10/16/2025

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Directions to “MEDICAL SPECIALISTS OF THE PALM BEACHES INC ” Practice Location

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