Provider Demographics
NPI:1124853122
Name:LITTLE PALMS BY THE SEA, INC
Entity type:Organization
Organization Name:LITTLE PALMS BY THE SEA, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:YELA
Authorized Official - Middle Name:MONICA
Authorized Official - Last Name:MARTINEZ-RUBIO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-331-2928
Mailing Address - Street 1:116 INTRACOASTAL POINTE DR STE 200
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33477-5024
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:116 INTRACOASTAL POINTE DR STE 200
Practice Address - Street 2:
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33477-5024
Practice Address - Country:US
Practice Address - Phone:561-331-2928
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-09
Last Update Date:2024-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080P0205XAllopathic & Osteopathic PhysiciansPediatricsPediatric EndocrinologyGroup - Single Specialty