Individual
LABAN BETTRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
300 PALM BEACH LAKES BLVD, WEST PALM BEACH, FL 33401-2710
(561) 657-4636
Mailing address
300 PALM BEACH LAKES BLVD, WEST PALM BEACH, FL 33401-2710
(561) 657-4636
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
03/06/2017
Last updated
07/13/2023
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