# PALM BEACH THORACIC SURGERY, PA

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

## Provider details

- **NPI number:** 1043712177
- **Authorized official:** JONATHAN WAXMAN MD (PHYSICIAN /OWNER)
- **Authorized official phone:** (561) 766-0834

## Contact information

- **Practice address:** 5162 LINTON BLVD STE 102, DELRAY BEACH, FL 33484-6567
- **Practice address phone:** (561) 766-0834
- **Practice address fax:** (561) 948-1682
- **Mailing address:** 5162 LINTON BLVD STE 102, DELRAY BEACH, FL 33484-6567
- **Mailing address phone:** (561) 766-0834
- **Mailing address fax:** (561) 948-1682

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | ME99916 | FL | Yes |

## Other

- **Enumeration date:** 03/05/2018
- **Last updated:** 06/16/2018