Provider Demographics
NPI:1174307763
Name:PLAM BEACH STEM CELL LLC
Entity type:Organization
Organization Name:PLAM BEACH STEM CELL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:
Authorized Official - Last Name:HANDY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-262-8161
Mailing Address - Street 1:824 US HIGHWAY 1 STE 110
Mailing Address - Street 2:
Mailing Address - City:NORTH PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33408-3838
Mailing Address - Country:US
Mailing Address - Phone:561-651-9182
Mailing Address - Fax:954-366-9228
Practice Address - Street 1:824 US HIGHWAY 1 STE 110
Practice Address - Street 2:
Practice Address - City:NORTH PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33408-3838
Practice Address - Country:US
Practice Address - Phone:561-651-9182
Practice Address - Fax:954-366-9228
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-23
Last Update Date:2023-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes202D00000XAllopathic & Osteopathic PhysiciansIntegrative MedicineGroup - Multi-Specialty