Organization
PALM BEACH GENERAL SURGERY LLC
Active
Parent organization
PALM BEACH GENERAL SURGERY LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PALM BEACH GENERAL SURGERY LLC
Authorized official
WILLIAM TEDRICK JOHNSON (VICE PRESIDENT)
(615) 372-3375
Entity
Organization
Contact information
Practice address
21110 BISCAYNE BLVD STE 400, AVENTURA, FL 33180-1252
(302) 285-5092
Mailing address
2000 HEALTH PARK DR, BRENTWOOD, TN 37027-4692
(615) 372-5426
Taxonomy
Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
Primary
—
—
Other
Enumeration date
10/08/2021
Last updated
10/08/2021
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