Basic Information
| Provider Information | |||||||||
| NPI: | 1467779496 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | PALM BAY HOSPITAL, INC. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6450 US HIGHWAY 1 | ||||||||
| Address2: | |||||||||
| City: | ROCKLEDGE | ||||||||
| State: | FL | ||||||||
| PostalCode: | 329555747 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3214344355 | ||||||||
| FaxNumber: | 3214344275 | ||||||||
| Practice Location | |||||||||
| Address1: | 1425 MALABAR RD NE | ||||||||
| Address2: | |||||||||
| City: | PALM BAY | ||||||||
| State: | FL | ||||||||
| PostalCode: | 329072506 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3217228000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/30/2010 | ||||||||
| LastUpdateDate: | 03/14/2014 | ||||||||
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| AuthorizedOfficialLastName: | FELKNER | ||||||||
| AuthorizedOfficialFirstName: | JOSEPH | ||||||||
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| AuthorizedOfficialTitleorPosition: | EXECUTIVE VP/CFO | ||||||||
| AuthorizedOfficialTelephone: | 3214345687 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 282N00000X | Y | Hospitals | General Acute Care Hospital |
No ID Information.