Provider Demographics
NPI:1699039842
Name:PALM BEACH MEDICAL INSTITUTE PLLC
Entity Type:Organization
Organization Name:PALM BEACH MEDICAL INSTITUTE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:ABRAHAM
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHWARZBERG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-253-3980
Mailing Address - Street 1:3111 S DIXIE HWY
Mailing Address - Street 2:SUITE 304
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33405-1557
Mailing Address - Country:US
Mailing Address - Phone:561-223-2805
Mailing Address - Fax:855-398-4048
Practice Address - Street 1:3111 S DIXIE HWY
Practice Address - Street 2:SUITE 304
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33405-1557
Practice Address - Country:US
Practice Address - Phone:561-223-2805
Practice Address - Fax:855-398-4048
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-02
Last Update Date:2012-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty