Provider Demographics
NPI:1619280591
Name:CRITICAL CARE ASSOCIATES OF SOUTH FLORIDA LLC
Entity Type:Organization
Organization Name:CRITICAL CARE ASSOCIATES OF SOUTH FLORIDA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:RALPH
Authorized Official - Middle Name:
Authorized Official - Last Name:PALUMBO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-939-0200
Mailing Address - Street 1:PO BOX 810097
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33481-0097
Mailing Address - Country:US
Mailing Address - Phone:561-939-0200
Mailing Address - Fax:561-939-0274
Practice Address - Street 1:800 MEADOWS ROAD
Practice Address - Street 2:ATTN: MEDICAL STAFF OFFICE INTENSIVIST PROGRAM
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33486
Practice Address - Country:US
Practice Address - Phone:561-939-0200
Practice Address - Fax:561-939-0274
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-20
Last Update Date:2023-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME85992207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care MedicineGroup - Single Specialty