Organization
GARDENS FAMILY PRACTICE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRABHAVATHI VIRALAM MD (PROVIDER)
(561) 627-7433
Entity
Organization
Contact information
Practice address
3365 BURNS RD, STUITE 217, PALM BEACH GARDENS, FL 33410-4326
(561) 627-7433
(561) 775-1055
Mailing address
3365 BURNS RD, STUITE 217, PALM BEACH GARDENS, FL 33410-4326
(561) 627-7433
(561) 775-1055
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME63002
FL
Other
Enumeration date
08/10/2011
Last updated
08/31/2011
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