Provider Demographics
NPI:1790972974
Name:PALM BEACH INSTITUTE OF HEMATOLOGY AND ONCOLOGY
Entity Type:Organization
Organization Name:PALM BEACH INSTITUTE OF HEMATOLOGY AND ONCOLOGY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ARNP-BC
Authorized Official - Prefix:MS
Authorized Official - First Name:TERESITA
Authorized Official - Middle Name:CO
Authorized Official - Last Name:RAMNARACE
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
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:
Practice Address - Street 1:2320 S SEACREST BLVD
Practice Address - Street 2:SUITE 300
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33435-6517
Practice Address - Country:US
Practice Address - Phone:561-740-3377
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-01
Last Update Date:2007-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1426762363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontologyGroup - Single Specialty