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NPI Code Detail

MEDICARE: PALM BEACH SPINE & DIAGNOSTIC INC

MEDICARE: PALM BEACH SPINE & DIAGNOSTIC 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
1207L00000XAnesthesiology Physician
2207LP2900XPain Medicine (Anesthesiology) Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
145791OTHERFLFLA BLUE

General Provider Information

NPI Number : 1710983085
Entity Type Code : Organization
Provider Name (Legal Business Name) : PALM BEACH SPINE & DIAGNOSTIC INC
Provider Business Mailing Address
First Line : 5800 CORPORATE WAY
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33407-2004
Country : US
Telephone Number : 561-649-8770
Fax Number : 561-649-0570
Provider Business Practice Location Address
First Line : 5800 CORPORATE WAY
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33407-2004
Country : US
Telephone Number : 561-649-8770
Fax Number : 561-649-0570
Authorized Official
Title or Position : PRESIDENT
Name : DR. LAWRENCE S GORFINE
Credential : M.D.
Telephone Number : 561-649-8770
Provider Enumeration Date : 06/22/2005
Last Update Date : 01/15/2019

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Directions to “PALM BEACH SPINE & DIAGNOSTIC INC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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