Provider Demographics
NPI:1700100740
Name:ENDOCRINOLOGY SPECIALISTS OF THE PALM BEACHES
Entity Type:Organization
Organization Name:ENDOCRINOLOGY SPECIALISTS OF THE PALM BEACHES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RENANIT
Authorized Official - Middle Name:E
Authorized Official - Last Name:BARRON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-881-3022
Mailing Address - Street 1:5155 CORPORATE WAY
Mailing Address - Street 2:SUITE C
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458-4356
Mailing Address - Country:US
Mailing Address - Phone:561-881-3022
Mailing Address - Fax:561-881-3088
Practice Address - Street 1:5155 CORPORATE WAY
Practice Address - Street 2:SUITE C
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-4356
Practice Address - Country:US
Practice Address - Phone:561-881-3022
Practice Address - Fax:561-881-3088
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-19
Last Update Date:2010-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME79309207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Single Specialty