OrganizationPalm Beach Pathology, Pa(Jupiter Pathology Associates)PathologyAllopathic & Osteopathic PhysiciansPractice Address1210 S Old Dixie Hwy, Jupiter, FL 33458-7205(954) 240-9555PECOS EnrollmentBased on the most recent information from CMS, provider Palm Beach Pathology, Pa does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1013182492Provider TypeOrganizationFull NamePalm Beach Pathology, PaOther NameJupiter Pathology AssociatesSubpartNoEnumeration Date4/25/2008Last Updated8/8/2008Contact InformationPractice LocationPractice Address1210 S Old Dixie Hwy, Jupiter, FL 33458-7205Phone(954) 240-9555Fax(770) 776-5966Mailing LocationMailing AddressPO Box 4117, West Palm Beach, FL 33402-4117Phone(954) 240-9555Fax(770) 776-5966Authorized OfficialNameBolton, Thomas A (President)Phone(954) 240-9555Provider TaxonomiesCodeDescriptionLicenseCode207ZP0102XPrimaryDescriptionPathologyAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID258264300DescriptionMedicaidIssuerUnlistedFloridaID99268DescriptionOtherIssuerBLUE CROSS BLUE SHIELDFlorida