Provider Demographics
NPI:1689932618
Name:GENERAL HEALTHCARE OF PALM BEACH INC
Entity Type:Organization
Organization Name:GENERAL HEALTHCARE OF PALM BEACH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SONIA
Authorized Official - Middle Name:
Authorized Official - Last Name:CABRERA ALONSO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-717-6190
Mailing Address - Street 1:3900 NW 79TH AVE
Mailing Address - Street 2:SUITE 704
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33166-6556
Mailing Address - Country:US
Mailing Address - Phone:786-717-6190
Mailing Address - Fax:786-717-6191
Practice Address - Street 1:3900 NW 79TH AVE
Practice Address - Street 2:SUITE 704
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33166-6556
Practice Address - Country:US
Practice Address - Phone:786-717-6190
Practice Address - Fax:786-717-6191
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-27
Last Update Date:2015-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS 9851208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty