Provider Demographics
NPI:1225756042
Name:PRM OF VIRGINIA PC
Entity Type:Organization
Organization Name:PRM OF VIRGINIA PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR RCM
Authorized Official - Prefix:
Authorized Official - First Name:JANE
Authorized Official - Middle Name:M
Authorized Official - Last Name:LAGNESE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-422-4206
Mailing Address - Street 1:2090 PALM BEACH LAKES BLVD STE 700
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33409-6508
Mailing Address - Country:US
Mailing Address - Phone:561-805-3873
Mailing Address - Fax:561-318-0134
Practice Address - Street 1:2090 PALM BEACH LAKES BLVD STE 700
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33409-6508
Practice Address - Country:US
Practice Address - Phone:561-805-3873
Practice Address - Fax:561-318-0134
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-17
Last Update Date:2023-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service