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Organization

GENERAL SURGERY OF PALM BEACH, LLC

Active
Other names
Palm Beach Medical Group
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAMARYS PEREZ (OWNER)
(561) 753-1101
Entity
Organization

Contact information

Practice address
3319 STATE ROAD 7, SUITE 207, WELLINGTON, FL 33449-8094
(561) 753-1101
(561) 753-1105
Mailing address
11101 S CROWN WAY, SUITE 1, WELLINGTON, FL 33414-8792
(561) 795-9150
(561) 798-7700

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0027V
BCBSFL
FL
05
003935000
FL
Enumeration date
03/19/2009
Last updated
08/06/2012
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