Provider Demographics
NPI:1720017932
Name:PALM BEACH INSTITUTE OF HEMATOLOGY & ONCOLOGY, LLC
Entity Type:Organization
Organization Name:PALM BEACH INSTITUTE OF HEMATOLOGY & ONCOLOGY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ARMANDO
Authorized Official - Middle Name:
Authorized Official - Last Name:ARMAS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-740-3377
Mailing Address - Street 1:2320 S SEACREST BLVD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33435-6517
Mailing Address - Country:US
Mailing Address - Phone:561-740-3377
Mailing Address - Fax:561-209-2349
Practice Address - Street 1:10151 ENTERPRISE CTR
Practice Address - Street 2:SUITE 102
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33437-3759
Practice Address - Country:US
Practice Address - Phone:561-847-2494
Practice Address - Fax:561-340-1050
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-01
Last Update Date:2012-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME57188174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL34414Medicare PIN