Organization
PALM BEACH ORTHOPAEDIC INSTITUTE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRIYA CHANDRADAT (CEO)
(561) 694-7776
Entity
Organization
Contact information
Practice address
4215 BURNS RD, 100, PALM BEACH GARDENS, FL 33410-4627
(561) 694-7776
(561) 694-3099
Mailing address
4215 BURNS RD, 200, PALM BEACH GARDENS, FL 33410-4625
(561) 694-7776
(561) 694-3099
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
251791400
—
FL
01
—
33380
MEDICARE PTAN
FL
Enumeration date
11/14/2006
Last updated
08/26/2022
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