Provider Demographics
NPI:1952638496
Name:HEALTHEXCEL MEDICAL GROUP AT PALM BEACH INC
Entity Type:Organization
Organization Name:HEALTHEXCEL MEDICAL GROUP AT PALM BEACH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF IT
Authorized Official - Prefix:MR
Authorized Official - First Name:VINCENT
Authorized Official - Middle Name:
Authorized Official - Last Name:CRUPI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-207-1632
Mailing Address - Street 1:5405 OKEECHOBEE BLVD
Mailing Address - Street 2:STE 303
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33417-4543
Mailing Address - Country:US
Mailing Address - Phone:561-689-8686
Mailing Address - Fax:561-689-8682
Practice Address - Street 1:5405 OKEECHOBEE BLVD
Practice Address - Street 2:STE 303
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33417-4543
Practice Address - Country:US
Practice Address - Phone:561-689-8686
Practice Address - Fax:561-689-8682
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-04
Last Update Date:2011-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME101368207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty