CONNECTICUT GENERAL LIFE INSURANCE COMPANY (CGLIC)


Address: 2101 Centre Park West Dr, Ste 175, West Palm Beach, FL 33409-6453
Phone: 5612423009

CONNECTICUT GENERAL LIFE INSURANCE COMPANY (CGLIC) (NPI# 1538485875) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1538485875
Entity Type Organization
Organization Name CONNECTICUT GENERAL LIFE INSURANCE COMPANY (CGLIC)
Other Organization Name CIGNA ONSITE HEALTH, LLC; PBSO; PALM BEACH SHERIFF OFFICE
Practice Address 2101 Centre Park West Dr
Ste 175
West Palm Beach
FL 33409-6453
Mailing Address 11001 N Black Canyon Hwy
Phoenix
AZ 85029-4757
Practice Telephone 5612423009
Mailing Telephone 8777331710
Mailing Fax Number 6023288410
Enumeration Date 2010-04-12
Last Update Date 2010-05-22
Authorized Official Name MICHAEL SLICE (VICE PRESIDENT)
Authorized Official Telephone 6023712971
Authorized Official Credential RPH
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261Q00000X Clinic/Center Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
CIGNA Onsite Health, LLC; PBSO; Palm Beach Sheriff Office Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1972932648 Connecticut General Life Insurance Company (cglic) Clinic/Center 1039 S State Road 7, Wellington, FL 33414-9367 2013-11-04
1174950307 Connecticut General Life Insurance Company (cglic) Clinic/Center 7101 Metro Blvd, Minneapolis, MN 55439-2117 2013-10-02
1932468360 Connecticut General Life Insurance Company (cglic) Clinic/Center 395 Mt. View, Industrial Drive, Morrison, TN 37357 2012-05-04
1699040956 Connecticut General Life Insurance Company (cglic) Clinic/Center 2701 23rd Ave, Council Bluffs, IA 51501-6958 2012-03-19
1982979241 Connecticut General Life Insurance Company (cglic) Clinic/Center 711 Horseshoe Blvd, Bossier City, LA 71111-4472 2012-03-19
1295022234 Connecticut General Life Insurance Company (cglic) Clinic/Center 1 Reynolds Way, Kettering, OH 45430-1586 2011-06-28
1457655177 Connecticut General Life Insurance Company (cglic) Clinic/Center 3100 Albert Lankford Dr, Lynchburg, VA 24501-4948 2011-01-10
1124340617 Connecticut General Life Insurance Company (cglic) Clinic/Center 101 Yorkshire Blvd, Lexington, KY 40509-1883 2010-02-24
1053566588 Connecticut General Life Insurance Company (cglic) Clinic/Center 1601 Chestnut St, Tl04b, Philadelphia, PA 19192-0003 2008-11-25
1497904155 Connecticut General Life Insurance Company (cglic) Clinic/Center 7555 Goodwin Rd, Chattanooga, TN 37421-3183 2008-09-17

Office Location

Street Address 2101 CENTRE PARK WEST DR
STE 175
City WEST PALM BEACH
State FL
Zip Code 33409-6453

Providers in the same location

NPI Name Taxonomy Address Enumeration
1083878698 Carlos Alberto Pardo Nurse Practitioner 2101 Centre Park West Dr, Suite # 175, West Palm Beach, FL 33409-6453 2008-07-12
1821241779 Michele Deltieure Internal Medicine 2101 Centre Park West Dr, West Palm Beach, FL 33409-6453 2008-10-23

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1154928000 Gerard Joseph Valerius Jr. Behavior Technician 1818 S. Australian Ave, Suite 420, West Palm Beach, FL 33409 2020-10-05
1295342277 Stela Karkatselos Nurse Practitioner 2700 Palm Beach Lakes Blvd., West Palm Beach, FL 33409 2020-09-24
1831703974 Daylin Gonzalez Behavior Technician 1818 S.australian Ave, Suite 420, West Palm Beach, FL 33409 2020-09-05
1518582436 All-most Family, Inc In Home Supportive Care 4047 Okeechobee Blvd., Suite 110, West Palm Beach, FL 33409 2020-06-16
1750911285 Denisse Ramirez Technician, Other 1818 S. Australian Ave, Suite 420, West Palm Beach, FL 33409 2020-01-23
1558915009 Hess Massage and Fitness LLC. Massage Therapist 2090 Palm Beach Lakes Blvd #900, West Palm Beach, FL 33409 2019-08-01
1184195638 Tyrone Woods Developmental Therapist 4287 Lake Lucerne Circle, West Palm Beach, FL 33409 2018-12-10
1700352119 Julio Cesar Lugo Sr. Counselor 4100 Bear Lakes Ct. Building 14, Apt. #108, West Palm Beach, FL 33409 2018-10-23
1073009353 Kaitlyn Rose Green Physician Assistant 560 Village Blvd Suite #150, West Palm Beach, FL 33409 2018-07-10
1063901247 Dominique J Carn Technician, Other 42000 Community Dr, Apt 2211, West Palm Beach, FL 33409 2018-05-03
Find all providers in zip 33409

Taxonomy Information

Taxonomy Code 261Q00000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center

Taxonomy Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1356998637 Advanced Children's Therapy II, Inc Clinic/Center 2100 45th St Ste B12, West Palm Beach, FL 33407-2064 2019-08-21
1639631302 Core Medical Solutions Clinic/Center 400 Executive Center Dr Ste 206, West Palm Beach, FL 33401-2922 2019-04-02
1427565399 Aids Healthcare Foundation Clinic/Center 1411 N Flagler Dr Ste 9300, West Palm Beach, FL 33401-3421 2018-01-02
1285178665 Path Medical, LLC Clinic/Center 2001 Palm Beach Lakes Blvd Ste 101, West Palm Beach, FL 33409-6513 2016-12-05
1043625718 Wpb Medical Provider, Inc. Clinic/Center 464 Fern St, West Palm Beach, FL 33401-5818 2014-06-21
1609105766 Endocrinology & Diabetes Consultants Clinic/Center 112 1st Way, West Palm Beach, FL 33407-6601 2009-12-18
1902058118 La Salud Medical & Rehab Center, Inc. Clinic/Center 2650 S Military Trl Ste 12, West Palm Beach, FL 33415-7506 2008-10-21
1194937557 R E Max Solution Inc Clinic/Center 224 Datura St Ste 613, West Palm Beach, FL 33401-5634 2007-05-05
1821177650 Berliant Sleep Services LLC Clinic/Center 2541 Metrocentre Blvd, Suite # 4, West Palm Beach, FL 33407-3154 2006-11-03
1902906282 Dd American Group Inc Clinic/Center 2590 Forest Hill Blvd, West Palm Beach, FL 33406-5929 2006-09-25
Find all providers in WEST PALM BEACH

Competitor

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City WEST PALM BEACH
Zip Code 33409

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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