Provider Demographics
NPI:1174692511
Name:HCA OF PALM BEACH INC
Entity type:Organization
Organization Name:HCA OF PALM BEACH INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AND CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:SAVARESE
Authorized Official - Suffix:
Authorized Official - Credentials:RN,MSN
Authorized Official - Phone:561-741-0444
Mailing Address - Street 1:17380 N HIGHWAY A1A ALT
Mailing Address - Street 2:SUITE 301A
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33477-5860
Mailing Address - Country:US
Mailing Address - Phone:561-741-0444
Mailing Address - Fax:
Practice Address - Street 1:17380 N HIGHWAY A1A ALT
Practice Address - Street 2:SUITE 301A
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33477-5860
Practice Address - Country:US
Practice Address - Phone:561-741-0444
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-07
Last Update Date:2008-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332BP3500X
FL1265332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLR9103OtherBLUE CROSS BLUE SHEILD
FL1297810001Medicare NSC