Organization
ALBAN B BACCHUS MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALBAN BERKLEY BACCHUS MD (PHYSICIAN)
(561) 966-2303
Entity
Organization
Contact information
Practice address
2889 10TH AVENUE NORTH, SUITE 301, LAKE WORTH, FL 33461-3045
(561) 966-2303
(561) 966-0714
Mailing address
2889 10TH AVENUE NORTH, SUITE 301, LAKE WORTH, FL 33461-3045
(561) 966-2303
(561) 966-0714
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME0054352
FL
Other
Enumeration date
08/09/2006
Last updated
08/22/2020
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