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Contact Information

NICKLAUS CHILDREN'S HOSPITAL PALM BEACH GARDENS OUTPATIENT CENTER
11310 LEGACY AVE
PALM BEACH GARDENS, FL33410-3658
 Phone: 305-666-6511
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Children

282NC2000X A0[7] Hospital-Children’s (PPS excluded)
 

Radiology

261QR0200X 74 Radiation Therapy Center
 

Rehabilitation

261QR0400X B4[14] Rehabilitation Agency
 

Urgent Care

261QU0200X
Indicates primary specialty

NPI Profile & details for NICKLAUS CHILDREN'S HOSPITAL PALM BEACH GARDENS OUTPATIENT CENTER

NPI # 1487927810
LBN Legal business name NICKLAUS CHILDREN'S HOSPITAL PALM BEACH GARDENS OUTPATIENT CENTER
Authorized official RAIZA VIDAURRAZAGA - (MANAGER, PROVIDER RELATIONS)
Entity Organization
Organization subpart 1 Yes
Enumeration date 02/15/2012
Last updated 03/15/2018 - About 8 years ago
Identifiers
FL Medicaid 010060930
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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