Peninsula Diagnostics Pa

LBN: Peninsula Diagnostics Pa
Peninsula Diagnostics Pa is an health care organization with primary practice located at 1355 W Palmetto Park Rd #282, Boca Raton FL 33486-3330. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as the primary health care specialty. Peninsula Diagnostics Pa can be contacted via phone (888) 395-4007, or through Packard, Russell via phone (888) 395-4007.

Contact Information

Primary practice address
1355 W Palmetto Park Rd #282 Boca Raton FL 33486-3330
Fax: (888) 395-3941
Website:
Authorized official contact:
Name: Packard, Russell Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X ME30779 Florida

Profile Details

NPI number 1619207628
LBN Legal business name Peninsula Diagnostics Pa
DBA Doing business as
Authorized official Packard, Russell Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 14th, 2010
Last updated Jan 14th, 2010 - about 15 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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