# GARDENS FAMILY PRACTICE, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033498837
- **Authorized official:** DR. PRABHAVATHI VIRALAM MD (PROVIDER)
- **Authorized official phone:** (561) 627-7433

## Contact information

- **Practice address:** 3365 BURNS RD, STUITE 217, PALM BEACH GARDENS, FL 33410-4326
- **Practice address phone:** (561) 627-7433
- **Practice address fax:** (561) 775-1055
- **Mailing address:** 3365 BURNS RD, STUITE 217, PALM BEACH GARDENS, FL 33410-4326
- **Mailing address phone:** (561) 627-7433
- **Mailing address fax:** (561) 775-1055

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | ME63002 | FL | Yes |

## Other

- **Enumeration date:** 08/10/2011
- **Last updated:** 08/31/2011
