Provider Demographics
NPI:1245481928
Name:PALLIATIVE CARE ASSOCIATES LLC
Entity type:Organization
Organization Name:PALLIATIVE CARE ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NEIL
Authorized Official - Middle Name:
Authorized Official - Last Name:MIRANSKY
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:954-636-1364
Mailing Address - Street 1:500 SE 17TH ST
Mailing Address - Street 2:SUITE 301
Mailing Address - City:FT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33316-2547
Mailing Address - Country:US
Mailing Address - Phone:954-636-1364
Mailing Address - Fax:954-762-7080
Practice Address - Street 1:500 SE 17TH ST
Practice Address - Street 2:301
Practice Address - City:FT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33316-2547
Practice Address - Country:US
Practice Address - Phone:954-636-1364
Practice Address - Fax:954-762-7080
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-01
Last Update Date:2015-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS9791207QH0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QH0002XAllopathic & Osteopathic PhysiciansFamily MedicineHospice and Palliative MedicineGroup - Multi-Specialty