Organization
PALM BEACH GENERAL SURGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY DUNCAN (VP)
(561) 439-0961
Entity
Organization
Contact information
Practice address
12983 SOUTHERN BLVD, LOXAHATCHEE, FL 33470-9207
(561) 439-0961
(561) 439-0963
Mailing address
12983 SOUTHERN BLVD, LOXAHATCHEE, FL 33470-9207
(561) 439-0961
(561) 439-0963
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00686505
RR MEDICARE
FL
Enumeration date
09/28/2007
Last updated
06/04/2009
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