Organization · NPI-2

Aaa Florida Clinic, LLC

Internal Medicine · West Palm Beach, FL

NPI number1629381397

StatusActive

Last updated in NPPESApr 4, 2012

Details

NPI: 1629381397
Entity type: Organization (NPI-2)
Legal business name: Aaa Florida Clinic, LLC
Organization subpart: No
Enumeration date: Jul 22, 2010
Last updated: Apr 4, 2012

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207R00000X	Internal Medicine	–	–	Yes
207RG0100X	Internal Medicine, Gastroenterology	–	–

Other names

Pain Care Of Palm Beach (Doing Business As)

Practice location

1441 Forest Hill Blvd Ste 200
West Palm Beach, FL 33406-6095

Phone 561-429-2181 · Fax 561-429-2186

Mailing address

1441 Forest Hill Blvd Ste 200
West Palm Beach, FL 33406-6095

Phone 561-429-2181 · Fax 561-429-2186

Authorized official

Cony Gonzalez
Office Manager
5614202181

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