| Palm Beach General Surgery LLC | |
|
4631 N Congress Ave Ste 110 West Palm Beach FL 33407-3238 | |
| (561) 530-1725 | |
| Not Available |
| Full Name | Palm Beach General Surgery LLC |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 4631 N Congress Ave Ste 110, West Palm Beach, Florida |
| Authorized Official Name and Position | William Tedrick Johnson (VICE PRESIDENT) |
| Authorized Official Contact | 6153723375 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Palm Beach General Surgery LLC 2000 Health Park Dr # De Brentwood TN 37027-4692 Ph: (615) 372-5426 | Palm Beach General Surgery LLC 4631 N Congress Ave Ste 110 West Palm Beach FL 33407-3238 Ph: (561) 530-1725 |
| NPI Number | 1831869155 |
|---|---|
| Provider Enumeration Date | 09/17/2021 |
| Last Update Date | 09/17/2021 |
| Certification Date | 09/17/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831869155 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | () | Primary |
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