Provider Demographics
NPI:1255891388
Name:AADDOMEDPARTNERS PA
Entity type:Organization
Organization Name:AADDOMEDPARTNERS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AND CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:K
Authorized Official - Last Name:ANIM-ADDO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:601-529-9961
Mailing Address - Street 1:131 DALENA WAY
Mailing Address - Street 2:
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33418-1739
Mailing Address - Country:US
Mailing Address - Phone:601-529-9961
Mailing Address - Fax:
Practice Address - Street 1:1411 N FLAGLER DR
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33401-3404
Practice Address - Country:US
Practice Address - Phone:561-833-4140
Practice Address - Fax:561-833-4176
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-24
Last Update Date:2019-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty