Organization
PALM BEACH NEUROSURGERY LLC
Active
Organization
PALM BEACH NEUROSURGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY DUNCAN (VICE PRESIDENT)
(561) 433-4444
Entity
Organization
Contact information
Practice address
5507 S CONGRESS AVE, SUITE 150, ATLANTIS, FL 33462-1139
(561) 433-4444
(561) 433-8877
Mailing address
5507 S CONGRESS AVE, SUITE 150, ATLANTIS, FL 33462-1139
(561) 433-4444
(561) 433-8877
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
74721
BCBS OF FL
—
Enumeration date
06/03/2006
Last updated
08/29/2007
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