Provider Demographics
NPI:1073551750
Name:SOUTH PALM BEACH MEDICAL SERVICES INC
Entity Type:Organization
Organization Name:SOUTH PALM BEACH MEDICAL SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NORWING
Authorized Official - Middle Name:R
Authorized Official - Last Name:SILVA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-540-3695
Mailing Address - Street 1:2000 N DIXIE HWY
Mailing Address - Street 2:STE 4
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33460-6244
Mailing Address - Country:US
Mailing Address - Phone:561-540-3695
Mailing Address - Fax:561-540-3696
Practice Address - Street 1:2000 N DIXIE HWY
Practice Address - Street 2:STE 4
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33460-6244
Practice Address - Country:US
Practice Address - Phone:561-540-3695
Practice Address - Fax:561-540-3696
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies