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 |
| NPI # | 1487927810 |
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| 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 |
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