Alban Berkley Bacchus in Palm Springs - Internal Medicine

Alban Berkley Bacchus - NPI 1710176474

Alban Berkley Bacchus is a Internal Medicine in Palm Springs, Florida. Alban Berkley Bacchus practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Alban Berkley Bacchus is 1710176474. The last update date is 2007-10-18.

Alban Berkley Bacchus's current location address is 2889 10th Ave N, Palm Springs, Florida. You can contact this provider via phone number 5619662303 and fax number 5619660714. The mailing address for Alban Berkley Bacchus is 2889 10th Ave N, Palm Springs, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Alban Berkley Bacchus
Address 2889 10th Ave N, Palm Springs, Florida
Phone Number 5619662303
Fax Number 5619660714
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1710176474
Provider Enumeration Date 2007-10-18
Last Updated Date 2007-10-18

Provider Mailing Address Detail

Address 2889 10th Ave N
City Palm Springs
State Florida (FL)
Post Code 334613045
Phone Number 5619662303
Fax Number 5619660714

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No ME0054352
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
63148500 FL --

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FAQs about Alban Berkley Bacchus

What is the Alban Berkley Bacchus's unique identification number?

The Alban Berkley Bacchus has been assigned the NPI (National Provider Identifier) Number 1710176474 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete street address where Alban Berkley Bacchus is physically located?

The Alban Berkley Bacchus is physically situated at the following address: 2889 10Th Ave N, Palm Springs, FL, 334613045.

What is Alban Berkley Bacchus's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Alban Berkley Bacchus is Internal Medicine, and the taxonomy code that classifies this field of practice is 207R00000X.

On what date was the 1710176474 assigned to Alban Berkley Bacchus?

The Alban Berkley Bacchus was issued its 1710176474 on 2007-10-18, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Alban Berkley Bacchus most recently updated?

The details pertaining to the Alban Berkley Bacchus, including its address, specialty, and other relevant information, were last refreshed on 2007-10-18.

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