Provider Demographics
NPI:1770811739
Name:HAND & WRIST INSTITUTE OF PALM BEACH PL
Entity type:Organization
Organization Name:HAND & WRIST INSTITUTE OF PALM BEACH PL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN / OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANGELO
Authorized Official - Middle Name:
Authorized Official - Last Name:INCORVAIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-374-7372
Mailing Address - Street 1:10301 HAGEN RANCH ROAD
Mailing Address - Street 2:SUITE A750
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33437
Mailing Address - Country:US
Mailing Address - Phone:561-374-7372
Mailing Address - Fax:
Practice Address - Street 1:10301 HAGEN RANCH ROAD
Practice Address - Street 2:SUITE A750
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33437
Practice Address - Country:US
Practice Address - Phone:561-374-7372
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-02
Last Update Date:2011-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLCU298AMedicare PIN
FL6491270001Medicare NSC