Organization
GARDENS ID GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDRES SUAREZ M.D. (OWNER/ PRESIDENT)
(561) 626-2914
Entity
Organization
Contact information
Practice address
11211 PROSPERITY FARMS RD, SUITE B-105, PALM BEACH GARDENS, FL 33410-3446
(561) 626-2914
Mailing address
11211 PROSPERITY FARMS RD, SUITE B-105, PALM BEACH GARDENS, FL 33410-3446
(561) 626-2914
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
ME31932
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
72439
BCBS OF FL
FL
Enumeration date
05/28/2006
Last updated
05/08/2008
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