PALM BEACH VASCULAR AND WOUND CARE PA NPI 1093266314

NPI Information

PALM BEACH VASCULAR AND WOUND CARE PA is a cardiovascular disease internal medicine in Jupiter, FL. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. PALM BEACH VASCULAR AND WOUND CARE PA NPI is 1093266314. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1004 S OLD DIXIE HWY STE 203
JUPITER, FL
ZIP 33458-200
Phone: (561) 691-1904

The provider's authorized official is Suresh B Kacham .
The authorized official title is Md and has the following contact phone number (561) 691-1904.

The CLIA number assigned to this NPI record is 10D2131662 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/21/2016 and was last updated on 2/15/2024.

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:

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