Provider Demographics
NPI:1285037176
Name:HAND & WRIST SPECIALISTS OF THE PALM BEACHES PA
Entity Type:Organization
Organization Name:HAND & WRIST SPECIALISTS OF THE PALM BEACHES PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:WHITE
Authorized Official - Last Name:KOLSHAK
Authorized Official - Suffix:
Authorized Official - Credentials:MD, MS
Authorized Official - Phone:561-508-7066
Mailing Address - Street 1:2237 S CONGRESS AVE
Mailing Address - Street 2:
Mailing Address - City:PALM SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33406-7605
Mailing Address - Country:US
Mailing Address - Phone:561-508-7066
Mailing Address - Fax:
Practice Address - Street 1:2237 S CONGRESS AVE
Practice Address - Street 2:
Practice Address - City:PALM SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33406-7605
Practice Address - Country:US
Practice Address - Phone:561-508-7066
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-06
Last Update Date:2021-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME102418207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand SurgeryGroup - Single Specialty