Provider Demographics
NPI:1417336728
Name:PALISADES MEDICAL CENTER
Entity Type:Organization
Organization Name:PALISADES MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RESIDENT PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIELLE
Authorized Official - Middle Name:KRISTINA
Authorized Official - Last Name:BEHARIE
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:954-673-0047
Mailing Address - Street 1:10348 PANAMA ST
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33026-4529
Mailing Address - Country:US
Mailing Address - Phone:954-673-0047
Mailing Address - Fax:
Practice Address - Street 1:10348 PANAMA ST
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33026-4529
Practice Address - Country:US
Practice Address - Phone:954-673-0047
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-20
Last Update Date:2015-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital