National Provider Identifier Database

PALM BEACH BOTOX
Neurology

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.


Contact Information

PALM BEACH BOTOX
16244 S MILITARY TRL STE 150
DELRAY BEACH, FL33484-6505
Phone: 561-638-8872
Fax: 561-638-8874
Website:
Specialty Taxonomy Code
* Neurology 2084N0400X
Neuromuscular Medicine 2081N0008X
Neuromusculoskeletal Medicine & OMM 204D00000X

* Indicates primary specialty

NPI Profile & details for PALM BEACH BOTOX

NPI Number 1801303920
Legal business name
LBN
PALM BEACH BOTOX
Authorized official SAMUEL SIDDIQUI - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 01/10/2018
Last updated 03/17/2018 - About 8 years ago
Sole proprietor1 Not specified
Identifiers
  • FL License #: 72476

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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