Organization

Palm Beach Cancer Institute Llc

Diagnostic Radiology Physician in West Palm Beach, FL(View on Map)

Legal Business Name

Palm Beach Cancer Institute Llc

NPI Number

1275702367

NPI Type

Organization

Enumeration Date

02/22/2008

Specialties

(Taxonomies)

Code

2085R0202X

Primary Taxonomy

Yes

Licenses

State

Florida

License Number

3884-1

Contact
Information

Purpose

Mailing
Location

Address

1309 N FLAGLER DR
1309 N FLAGLER DR

City

West Palm Beach
West Palm Beach

State

FL
FL

Postal Code

33401-3406
33401-3406

Country

US
US

Telephone Number

(561) 366-4100
(561) 366-4100

Authorized Official

Name

Genay Seminara

Title or Position

CONTRACTING / CREDENTIALING MGR

Telephone Number

(561) 366-4104

Identifiers

Identifier

V3181

Identifier State

FL

Identifier Issuer

IDTF - BCBS

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 02/22/2008

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