Organization
PALM BEACH SURGICAL ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AGUSTIN IBARROLA MD (CMO)
(561) 798-1515
Entity
Organization
Contact information
Practice address
12955 PALMS WEST DR, SUITE 101, LOXAHATCHEE, FL 33470-4993
(561) 798-1515
(561) 798-9249
Mailing address
6415 LAKE WORTH RD STE 102, GREENACRES, FL 33463-3009
(561) 331-0808
(561) 237-6034
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
04/18/2017
Last updated
07/01/2020
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