Provider Demographics
NPI:1659655371
Name:FAMILY MEDICAL CARE OF PALM BEACH, PLLC
Entity Type:Organization
Organization Name:FAMILY MEDICAL CARE OF PALM BEACH, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN / OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NADER
Authorized Official - Middle Name:
Authorized Official - Last Name:DARYAEE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-249-7626
Mailing Address - Street 1:10625 N MILITARY TRL
Mailing Address - Street 2:SUITE 102
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33410-6564
Mailing Address - Country:US
Mailing Address - Phone:561-249-7626
Mailing Address - Fax:
Practice Address - Street 1:10625 N MILITARY TRL
Practice Address - Street 2:SUITE 102
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33410-6564
Practice Address - Country:US
Practice Address - Phone:561-249-7626
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-29
Last Update Date:2012-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty