Provider Demographics
NPI:1326355389
Name:STEPHEN NEMEROFSKY MD PA
Entity Type:Organization
Organization Name:STEPHEN NEMEROFSKY MD PA
Other - Org Name:LA POSADA WELLNESS CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:LOUIS
Authorized Official - Last Name:NEMEROFSKY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-586-3400
Mailing Address - Street 1:1111 HYPOLUXO RD
Mailing Address - Street 2:107
Mailing Address - City:LANTANA
Mailing Address - State:FL
Mailing Address - Zip Code:33462-4271
Mailing Address - Country:US
Mailing Address - Phone:561-586-3400
Mailing Address - Fax:561-585-0079
Practice Address - Street 1:3127 LA POSADA DR
Practice Address - Street 2:
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33410-2867
Practice Address - Country:US
Practice Address - Phone:561-586-3400
Practice Address - Fax:561-585-0079
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-10
Last Update Date:2010-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center