Provider Demographics
NPI:1295085785
Name:WOMENS PAVILION OF THE PALM BEACHES INC
Entity type:Organization
Organization Name:WOMENS PAVILION OF THE PALM BEACHES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:MARC
Authorized Official - Last Name:ABELLARD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-433-4446
Mailing Address - Street 1:4849 LAKE WORTH RD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:GREENACRES
Mailing Address - State:FL
Mailing Address - Zip Code:33463-3455
Mailing Address - Country:US
Mailing Address - Phone:561-784-7014
Mailing Address - Fax:561-784-7922
Practice Address - Street 1:4849 LAKE WORTH RD
Practice Address - Street 2:STE 201
Practice Address - City:GREENACRES
Practice Address - State:FL
Practice Address - Zip Code:33463-3455
Practice Address - Country:US
Practice Address - Phone:561-784-7014
Practice Address - Fax:561-784-7922
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-12
Last Update Date:2013-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME113026261QF0050X
261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
No261QF0050XAmbulatory Health Care FacilitiesClinic/CenterFamily Planning, Non-Surgical