Basic Information
| Provider Information | |||||||||
| NPI: | 1073950309 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | TENET FLORIDA PHYSICIAN SERVICES II, LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 742210 | ||||||||
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| City: | ATLANTA | ||||||||
| State: | GA | ||||||||
| PostalCode: | 303742102 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5612885500 | ||||||||
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| Practice Location | |||||||||
| Address1: | 901 45TH ST KIMMEL BLDG | ||||||||
| Address2: | |||||||||
| City: | WEST PALM BEACH | ||||||||
| State: | FL | ||||||||
| PostalCode: | 33407 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5618445255 | ||||||||
| FaxNumber: | 5618445245 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/28/2013 | ||||||||
| LastUpdateDate: | 06/23/2016 | ||||||||
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| AuthorizedOfficialLastName: | POWERS | ||||||||
| AuthorizedOfficialFirstName: | MARSHA | ||||||||
| AuthorizedOfficialMiddleName: | D. | ||||||||
| AuthorizedOfficialTitleorPosition: | SVP REGIONAL OPERATIONS, TENET | ||||||||
| AuthorizedOfficialTelephone: | 9545093671 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MS. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | Y | 193400000X SINGLE SPECIALTY GROUP | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.