Provider Type Icon

PALM BEACH GENERAL SURGERY LLC NPI 1073275897


NPI Information

NPI: 1073275897
Provider Name: PALM BEACH GENERAL SURGERY LLC
Classification: Surgery - 2086X0206X
Entity Type: Organization

Specialization: Surgical Oncology

Address:
21110 BISCAYNE BLVD STE 400
AVENTURA, FL
ZIP 33180
Phone: (302) 285-5092
Get Directions

PALM BEACH GENERAL SURGERY LLC is a surgical oncology surgery in Aventura, FL. The provider is a surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research. PALM BEACH GENERAL SURGERY LLC NPI is 1073275897. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

21110 BISCAYNE BLVD STE 400
AVENTURA, FL
ZIP 33180-252
Phone: (302) 285-5092

The provider's authorized official is William Tedrick Johnson .
The authorized official title is Vice President and has the following contact phone number (615) 372-3375.

The enumeration date for this NPI number is 10/8/2021 and was last updated on 10/8/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12086X0206XSurgerySurgical OncologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.