Provider Demographics
NPI:1063737393
Name:PALM BEACH INFECTIOUS DISEASE INSTITUTE
Entity type:Organization
Organization Name:PALM BEACH INFECTIOUS DISEASE INSTITUTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ISTVAN
Authorized Official - Middle Name:
Authorized Official - Last Name:KRISKO
Authorized Official - Suffix:
Authorized Official - Credentials:MD, PHD
Authorized Official - Phone:561-655-1395
Mailing Address - Street 1:2055 MILITARY TRL
Mailing Address - Street 2:208
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458-7801
Mailing Address - Country:US
Mailing Address - Phone:561-655-1395
Mailing Address - Fax:561-746-8447
Practice Address - Street 1:2055 MILITARY TRAIL
Practice Address - Street 2:208
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-7830
Practice Address - Country:US
Practice Address - Phone:561-655-1395
Practice Address - Fax:561-746-8447
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-30
Last Update Date:2013-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable