Provider Demographics
NPI:1922326149
Name:PALM RADIATION THERAPY SERVICES PL
Entity Type:Organization
Organization Name:PALM RADIATION THERAPY SERVICES PL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:MARTIN
Authorized Official - Last Name:PERLMUTTER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:860-573-8789
Mailing Address - Street 1:100 BAYVIEW DR
Mailing Address - Street 2:710
Mailing Address - City:SUNNY ISLES BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33160-4781
Mailing Address - Country:US
Mailing Address - Phone:860-573-8789
Mailing Address - Fax:
Practice Address - Street 1:2828 E COMMERCIAL BLVD
Practice Address - Street 2:
Practice Address - City:FT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33308-4206
Practice Address - Country:US
Practice Address - Phone:860-573-8789
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-12
Last Update Date:2010-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty