Provider Demographics
NPI:1659906097
Name:PRINCETON HEALTH, INC
Entity Type:Organization
Organization Name:PRINCETON HEALTH, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PRINSTON
Authorized Official - Middle Name:
Authorized Official - Last Name:JEAN-GLAUDE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-345-1369
Mailing Address - Street 1:2412 N STATE ROAD 7
Mailing Address - Street 2:
Mailing Address - City:LAUDERDALE LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33313-3724
Mailing Address - Country:US
Mailing Address - Phone:954-289-1111
Mailing Address - Fax:
Practice Address - Street 1:1233 45TH ST
Practice Address - Street 2:SUITE B4
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33407-2162
Practice Address - Country:US
Practice Address - Phone:954-289-1111
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-05
Last Update Date:2020-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty