Advanced Breast Care of the Palm Beaches, PA.
Organization Active NPI Surgery Physician · Wellington, FL
NPI 1780906909 · NPPES record last updated Aug 24, 2010
Key facts
- NPI
- 1780906909
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Surgery Physician 208600000X
- License
- ME78137 (FL)
- Legal business name
- ADVANCED BREAST CARE OF THE PALM BEACHES, PA.
- Practice address
- 12160 S Shore Blvd
Suite 103
Wellington, FL 33414-6269 - Phone
- (561) 798-7494
- Fax
- (978) 327-7952
- NPI assigned
- Feb 16, 2010
- Organization subpart
- No
Authorized official
- Name
- Dr. Kathleen E Minnick, M.D.
- Title
- Owner
- Phone
- (561) 798-7494
National Provider Directory
Locations
125 S State Road 7
Ste 104363
Wellington, FL 33414
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician |
208600000X | ME78137 | FL | Yes |
Addresses
Primary practice location
12160 S Shore Blvd
Suite 103
Wellington, FL 33414-6269
Mailing address
125 S State Road 7
Suite 104-363
Wellington, FL 33414-4385
Phone (561) 798-7494
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05-27-2010 | Other | FL | CIGNA |
| 05-15-2010 | Other | FL | GHI |
| 07-06-2005 | Other | FL | AVMED |
| 03-01-2010 | Other | FL | MEDICARE |
| 03-31-2005 | Other | FL | BCBS |
| 02-04-2010 | Other | FL | UNITED |
| 04-01-2010 | Other | FL | AETNA |
Other providers in Wellington, FL
- Acute Medical Care Hospitalist LLC
- Rikala Adams
- Sandra Faye Adams
- Darmaan Osman Aden
- Adolfo Colman MD
- Advanced Endodontics of Wellington
- Advanced Medical Clinic P a
- Advanced Medical Clinic P.a
- Advanced Metropolitan Radiology LLC
- Advanced Psychoeducational Services
All providers in Wellington, FL · Surgery Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 24, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.