Provider Demographics
NPI:1255525986
Name:PALM BEACH MED-CARE PA
Entity type:Organization
Organization Name:PALM BEACH MED-CARE PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HASHEM
Authorized Official - Middle Name:
Authorized Official - Last Name:KHORASSANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-835-8787
Mailing Address - Street 1:1500 N DIXIE HWY
Mailing Address - Street 2:SUITE 205
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33401-2712
Mailing Address - Country:US
Mailing Address - Phone:561-835-8787
Mailing Address - Fax:
Practice Address - Street 1:1500 N DIXIE HWY
Practice Address - Street 2:SUITE 205
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33401-2712
Practice Address - Country:US
Practice Address - Phone:561-835-8787
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-06
Last Update Date:2008-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty