Organization
JOSE E DE LA GANDARA MD ANGELA PEDRAZA MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE E DE LA GANDARA MD (CO OWNER)
(561) 687-2111
Entity
Organization
Contact information
Practice address
2161 PALM BEACH LAKES BLVD, SUITE 215, WEST PALM BEACH, FL 33409-6607
(561) 687-2111
(561) 687-1777
Mailing address
2161 PALM BEACH LAKES BLVD, SUITE 215, WEST PALM BEACH, FL 33409-6607
(561) 687-2111
(561) 687-1777
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
05/26/2006
Last updated
08/22/2020
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