Provider Demographics
NPI:1427891621
Name:COR MEDICAL CENTERS OF WEST PALM BEACH
Entity type:Organization
Organization Name:COR MEDICAL CENTERS OF WEST PALM BEACH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:TAYNI
Authorized Official - Middle Name:
Authorized Official - Last Name:CABRERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-680-4188
Mailing Address - Street 1:2500 METROCENTRE BLVD STE 7
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33407-3107
Mailing Address - Country:US
Mailing Address - Phone:305-680-4188
Mailing Address - Fax:
Practice Address - Street 1:2500 METROCENTRE BLVD STE 7
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33407-3107
Practice Address - Country:US
Practice Address - Phone:561-559-1099
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-15
Last Update Date:2024-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty