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Organization

PALM BEACH SURGICAL ASSOCIATES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AGUSTIN IBARROLA M.D. (OWNER)
(561) 331-0808
Entity
Organization

Contact information

Practice address
120 JFK DR STE 120, ATLANTIS, FL 33462-6623
(561) 331-0808
(561) 594-0880
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

Other identifiers
Code
Description
Identifier
Issuer
State
05
000892200
FL
01
24344
FLORIDA BLUE
FL
Enumeration date
03/15/2007
Last updated
06/01/2022
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