Provider Demographics
NPI:1538159884
Name:UNIQUE FAMILY CARE OF THE PALM BEACHES INC
Entity type:Organization
Organization Name:UNIQUE FAMILY CARE OF THE PALM BEACHES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:GOEGELMAN-KEREKESS
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:561-845-7000
Mailing Address - Street 1:421 NORTHLAKE BLVD
Mailing Address - Street 2:SUITE H
Mailing Address - City:NORTH PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33408-5413
Mailing Address - Country:US
Mailing Address - Phone:561-845-7000
Mailing Address - Fax:561-845-3777
Practice Address - Street 1:421 NORTHLAKE BLVD
Practice Address - Street 2:SUITE H
Practice Address - City:NORTH PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33408-5413
Practice Address - Country:US
Practice Address - Phone:561-845-7000
Practice Address - Fax:561-845-3777
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-27
Last Update Date:2008-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1313164332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLM2735OtherBCBS
FL5233540002Medicare NSC