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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 Specialty Code Provider Type

Neurology

2084N0400X 13 Physician/Neurology
 

Neuromuscular Medicine

2081N0008X 25 Physician/Physical Medicine and Rehabilitation
 

Neuromusculoskeletal Medicine & OMM

204D00000X 12 Physician/Osteopathic Manipulative Medicine
Indicates primary specialty

NPI Profile & details for PALM BEACH BOTOX

NPI Number 1801303920
LBN Legal business name PALM BEACH BOTOX
Authorized official SAMUEL SIDDIQUI - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 01/10/2018
Last updated 03/17/2018 - About 8 years ago
Identifiers
FL License # 72476
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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