Organization
OBGYN SPECIALISTS OF LAKESIDE LLC
Active
Parent organization
OBGYN SPECIALISTS OF THE PALM BEACHES PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
OBGYN SPECIALISTS OF THE PALM BEACHES PA
Authorized official
JOHN BURIGO MD (MANAGER)
(561) 275-7509
Entity
Organization
Contact information
Practice address
39200 HOOKER HWY, BELLE GLADE, FL 33430-5368
(561) 996-6571
(561) 992-9722
Mailing address
2979 PGA BLVD, SUITE 200, PALM BEACH GARDENS, FL 33410-2911
(561) 275-7604
(561) 802-5385
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME35335
FL
207VM0101X
Maternal & Fetal Medicine Physician
ME35335
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008257000
—
FL
Enumeration date
01/25/2013
Last updated
07/06/2016
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