Palm Beach Pediatric Urology

LBN: Palm Beach Pediatric Urology
Palm Beach Pediatric Urology is an health care organization with primary practice located at 10301 Hagen Ranch Rd Suite C130, Boynton Beach FL 33437. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as the primary health care specialty. Palm Beach Pediatric Urology can be contacted via phone (561) 736-7313, or through Flack, Charles E via phone (561) 512-0614.

Contact Information

Primary practice address
10301 Hagen Ranch Rd Suite C130 Boynton Beach FL 33437
Phone: (561) 736-7313
Fax: (561) 736-2309
Website:
Map and Directions
Authorized official contact:
Name: Flack, Charles E Doctor of Medicine (MD)
Phone: (561) 512-0614

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X ME599337 Florida

Profile Details

NPI number 1598739831
LBN Legal business name Palm Beach Pediatric Urology
DBA Doing business as
Authorized official Flack, Charles E Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 14th, 2006
Last updated Oct 22nd, 2013 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598739831 NPPES
Florida Other 2032607 AETNA HMO
Florida MEDICAID 272189900 AETNA HMO
Florida Other 4611456 AETNA HMO
Florida Other 1755943 AETNA HMO
Florida Other 5962 AETNA HMO
Florida Other 103690 AETNA HMO
Florida Other 204200 AETNA HMO
Florida Other 12475 AETNA HMO
Florida Other 26943 AETNA HMO

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