| Headache And Pain Center Of Palm Beach | |
|
1015 W Indiantown Rd Suite 202 Jupiter FL 33458-6839 | |
| (561) 748-0528 | |
| (561) 748-4718 |
| Full Name | Headache And Pain Center Of Palm Beach |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1015 W Indiantown Rd, Jupiter, Florida |
| Authorized Official Name and Position | Robert Jay Friedman (CEO/OWNER) |
| Authorized Official Contact | 5617480528 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Headache And Pain Center Of Palm Beach 1015 W Indiantown Rd Suite 202 Jupiter FL 33458-6839 Ph: (561) 748-0528 | Headache And Pain Center Of Palm Beach 1015 W Indiantown Rd Suite 202 Jupiter FL 33458-6839 Ph: (561) 748-0528 |
| NPI Number | 1861680407 |
|---|---|
| Provider Enumeration Date | 10/09/2007 |
| Last Update Date | 10/01/2010 |
| Medicare PECOS PAC ID | 4284603143 |
|---|---|
| Medicare Enrollment ID | O20040928000315 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861680407 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P2900X | Psychiatry & Neurology - Pain Medicine | (* (Not Available)) | Primary |
| Provider Name | Robert J Friedman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1659465375 PECOS PAC ID: 8729057690 Enrollment ID: I20040930000687 |
| Provider Name | Lori F Soberal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215268628 PECOS PAC ID: 2264460377 Enrollment ID: I20050730000062 |
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