Provider Demographics
NPI:1942781505
Name:SURAMED HEALTH CENTER PA
Entity Type:Organization
Organization Name:SURAMED HEALTH CENTER PA
Other - Org Name:SURAMED HEALTH CENTER PA PALOMINO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CREDENTIALING
Authorized Official - Prefix:
Authorized Official - First Name:SERGIO
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:ARANGO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-275-7100
Mailing Address - Street 1:3319 SR 7
Mailing Address - Street 2:SUITE 109
Mailing Address - City:WELLINGTON
Mailing Address - State:FL
Mailing Address - Zip Code:33449
Mailing Address - Country:US
Mailing Address - Phone:561-798-5437
Mailing Address - Fax:
Practice Address - Street 1:3255 FOREST HILL BLVD STE 107
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33406-5854
Practice Address - Country:US
Practice Address - Phone:561-275-7100
Practice Address - Fax:561-275-7199
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SOMA MEDICAL CENTER, P.A. #3
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-08-22
Last Update Date:2022-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty