Provider Demographics
NPI:1912202490
Name:ACCURATE MEDICAL NETWORK INC.
Entity Type:Organization
Organization Name:ACCURATE MEDICAL NETWORK INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:
Authorized Official - Last Name:BOURSIQUOT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-689-8884
Mailing Address - Street 1:951 SANSBURYS WAY
Mailing Address - Street 2:SUITE 206
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411-3619
Mailing Address - Country:US
Mailing Address - Phone:561-689-8884
Mailing Address - Fax:561-682-1333
Practice Address - Street 1:951 SANSBURYS WAY
Practice Address - Street 2:SUITE 206
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33411-3619
Practice Address - Country:US
Practice Address - Phone:561-689-8884
Practice Address - Fax:561-682-1333
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-14
Last Update Date:2011-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171W00000XOther Service ProvidersContractorGroup - Single Specialty