Organization
PALM BEACH VASCULAR AND WOUND CARE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SURESH B KACHAM (MD)
(561) 691-1904
Entity
Organization
Contact information
Practice address
1004 S OLD DIXIE HWY STE 203, JUPITER, FL 33458-7200
(561) 691-1904
Mailing address
1004 S OLD DIXIE HWY STE 203, JUPITER, FL 33458-7200
(561) 691-1904
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME77546
FL
207RC0000X
Cardiovascular Disease Physician
Primary
ME77546
FL
Other
Enumeration date
10/21/2016
Last updated
02/15/2024
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