Provider Demographics
NPI:1275747073
Name:RHEUMATOLOGY AND ENDOCRINOLOGY SPECIALISTS OF THE PALM BEACHES, P.A.
Entity Type:Organization
Organization Name:RHEUMATOLOGY AND ENDOCRINOLOGY SPECIALISTS OF THE PALM BEACHES, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:BARRON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-932-1212
Mailing Address - Street 1:5155 CORPORATE WAY
Mailing Address - Street 2:SUITE C
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458-4356
Mailing Address - Country:US
Mailing Address - Phone:561-932-1212
Mailing Address - Fax:
Practice Address - Street 1:5155 CORPORATE WAY
Practice Address - Street 2:SUITE C
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458
Practice Address - Country:US
Practice Address - Phone:561-932-1212
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-10
Last Update Date:2018-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME79307207RE0101X
FLME79309207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Multi-Specialty
No207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK4550Medicare ID - Type Unspecified