Provider Demographics
NPI:1194025437
Name:OB/GYN SPECIALISTS OF THE PALM BEACHES
Entity Type:Organization
Organization Name:OB/GYN SPECIALISTS OF THE PALM BEACHES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:A
Authorized Official - Last Name:BURIGO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-655-3331
Mailing Address - Street 1:2979 PGA BLVD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33410-2911
Mailing Address - Country:US
Mailing Address - Phone:561-275-7604
Mailing Address - Fax:561-802-5385
Practice Address - Street 1:1050 37TH PL
Practice Address - Street 2:SUITE 105
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32960-6578
Practice Address - Country:US
Practice Address - Phone:561-626-3800
Practice Address - Fax:561-624-6364
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-02
Last Update Date:2013-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL40880Medicare PIN