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)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
Provider Address
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