OrganizationPalm Beach Pathology, Pa(Palm Beach Gardens Pathology Assocciates)PathologyAllopathic & Osteopathic PhysiciansPractice Address3360 Burns Rd, Palm Beach Gardens, FL 33410-4323(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 ID1720253198Provider TypeOrganizationFull NamePalm Beach Pathology, PaOther NamePalm Beach Gardens Pathology AssocciatesSubpartNoEnumeration Date4/28/2008Last Updated9/20/2010Contact InformationPractice LocationPractice Address3360 Burns Rd, Palm Beach Gardens, FL 33410-4323Phone(954) 240-9555FaxUnlisted FaxMailing 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 IdentifiersIDDescriptionIssuerID258264300DescriptionMedicaidIssuerUnlistedFloridaID97880DescriptionOtherIssuerBLUE CROSS BLUE SHIELDFlorida