Provider Demographics
NPI:1639414683
Name:PRIORITY MEDICAL CENTERS LLC
Entity Type:Organization
Organization Name:PRIORITY MEDICAL CENTERS LLC
Other - Org Name:PRIORITY MEDICAL CENTERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MGRM
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:F
Authorized Official - Last Name:SOBEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-613-4040
Mailing Address - Street 1:2499 GLADES RD
Mailing Address - Street 2:STE 312
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33431-7209
Mailing Address - Country:US
Mailing Address - Phone:561-613-4040
Mailing Address - Fax:561-372-7880
Practice Address - Street 1:2499 GLADES RD
Practice Address - Street 2:STE 312
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33431-7209
Practice Address - Country:US
Practice Address - Phone:561-613-4040
Practice Address - Fax:561-372-7880
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-03
Last Update Date:2013-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty