Provider Demographics
NPI:1154623023
Name:HOSPICE OF PALM BEACH COUNTY, INC.
Entity type:Organization
Organization Name:HOSPICE OF PALM BEACH COUNTY, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF PHARMACY SERVICES
Authorized Official - Prefix:DR
Authorized Official - First Name:RAYMOND
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:ZELHOF
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD, CPH
Authorized Official - Phone:561-242-2555
Mailing Address - Street 1:300 NORTHPOINT PKWY
Mailing Address - Street 2:SUITE 301
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33407-1979
Mailing Address - Country:US
Mailing Address - Phone:561-242-2500
Mailing Address - Fax:561-845-7993
Practice Address - Street 1:300 NORTHPOINT PKWY STE 301
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33407-1979
Practice Address - Country:US
Practice Address - Phone:561-242-2500
Practice Address - Fax:561-845-7993
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-29
Last Update Date:2015-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH105993336C0003X
3336H0001X, 3336L0003X, 3336M0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy
No3336M0002XSuppliersPharmacyMail Order Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2121274OtherPK