Provider Demographics
NPI:1194117507
Name:RHEUMATOLOGY AND ENDOCRINOLOGY SPECIALISTS OF THE PALM BEACHES, P.A.
Entity type:Organization
Organization Name:RHEUMATOLOGY AND ENDOCRINOLOGY SPECIALISTS OF THE PALM BEACHES, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:
Authorized Official - Last Name:BARRON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-358-9633
Mailing Address - Street 1:112 SANDBOURNE LN
Mailing Address - Street 2:
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33418-8086
Mailing Address - Country:US
Mailing Address - Phone:561-358-9633
Mailing Address - Fax:
Practice Address - Street 1:5155 CORPORATE WAY
Practice Address - Street 2:C
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-4356
Practice Address - Country:US
Practice Address - Phone:561-358-9633
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-21
Last Update Date:2015-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME79307207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1013937671Medicare PIN