Organization
PALM BEACH GARDENS SURGERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN BACHA DO (OWNER)
(561) 694-6911
Entity
Organization
Contact information
Practice address
3370 BURNS RD, SUITE 102, PALM BEACH GARDENS, FL 33410-4327
(561) 694-6911
(561) 625-3239
Mailing address
3370 BURNS RD, SUITE 102, PALM BEACH GARDENS, FL 33410-4327
(561) 694-6911
(561) 625-3239
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
OS11728
FL
Other
Enumeration date
12/12/2014
Last updated
12/12/2014
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