Provider Demographics
NPI:1407420383
Name:PALM BEACH PALLIATIVE CARE PA
Entity Type:Organization
Organization Name:PALM BEACH PALLIATIVE CARE PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROSE-LAURE
Authorized Official - Middle Name:
Authorized Official - Last Name:MOUSSIGNAC
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-620-3025
Mailing Address - Street 1:PO BOX 273776
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33427-3776
Mailing Address - Country:US
Mailing Address - Phone:561-620-3025
Mailing Address - Fax:561-609-2553
Practice Address - Street 1:1240 NW 8TH ST
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33486-2102
Practice Address - Country:US
Practice Address - Phone:561-620-3025
Practice Address - Fax:561-609-2553
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-17
Last Update Date:2023-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative MedicineGroup - Single Specialty