Organization
SURAMED HEALTH CENTER, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALFONSO J HENRIQUEZ M.D. (PEDIATRICIAN)
(561) 275-7100
Entity
Organization
Contact information
Practice address
2640 FOREST HILL BLVD, WEST PALM BEACH, FL 33406-5931
(561) 275-7100
(561) 275-7199
Mailing address
2640 FOREST HILL BLVD, WEST PALM BEACH, FL 33406-5931
(561) 275-7100
(561) 275-7199
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME98652
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009406900
—
FL
Enumeration date
01/31/2011
Last updated
12/23/2024
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