Provider Demographics
NPI:1891122693
Name:PALM BEACH GENERAL SURGERY DBA WOMEN'S HEALTH AND HEALING
Entity Type:Organization
Organization Name:PALM BEACH GENERAL SURGERY DBA WOMEN'S HEALTH AND HEALING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INTERIM PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:BAIR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-548-1721
Mailing Address - Street 1:5301 S CONGRESS AVE STE 400
Mailing Address - Street 2:
Mailing Address - City:ATLANTIS
Mailing Address - State:FL
Mailing Address - Zip Code:33462-1149
Mailing Address - Country:US
Mailing Address - Phone:561-548-1721
Mailing Address - Fax:
Practice Address - Street 1:5301 S CONGRESS AVE STE 400
Practice Address - Street 2:
Practice Address - City:ATLANTIS
Practice Address - State:FL
Practice Address - Zip Code:33462-1149
Practice Address - Country:US
Practice Address - Phone:561-548-1721
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-11
Last Update Date:2013-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty