Provider Demographics
NPI:1386697647
Name:INTERMED HEALTHCARE CENTERS INC
Entity type:Organization
Organization Name:INTERMED HEALTHCARE CENTERS INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:S
Authorized Official - Last Name:LOBEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-795-4565
Mailing Address - Street 1:11327 OKEECHOBEE BLVD
Mailing Address - Street 2:SUITE 2
Mailing Address - City:ROYAL PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411-8724
Mailing Address - Country:US
Mailing Address - Phone:561-795-4565
Mailing Address - Fax:561-795-3992
Practice Address - Street 1:11327 OKEECHOBEE BLVD
Practice Address - Street 2:SUITE 2
Practice Address - City:ROYAL PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33411-8724
Practice Address - Country:US
Practice Address - Phone:561-795-4565
Practice Address - Fax:561-795-3992
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHCC3668146M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes146M00000XEmergency Medical Service ProvidersEmergency Medical Technician, IntermediateGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK5850Medicare ID - Type Unspecified