PALM BEACH MEDICAL GROUP – NPI #1104067222
Surgery

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

PALM BEACH MEDICAL GROUP is a surgeon located in WELLINGTON, FL. NPPES has assigned the NPI number 1104067222 to PALM BEACH MEDICAL GROUP on March 19, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “PALM BEACH MEDICAL GROUP” is a dba name, the actual legal business name for this organization is GENERAL SURGERY OF PALM BEACH, LLC. The primary taxonomy selected by this provider is 208600000X from the Health Care Provider Taxonomy code set, which is classified as Surgery.

The NPI profile was previously updated about 14 years ago on Aug 06, 2012. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PALM BEACH MEDICAL GROUP below.

NPI Profile for
GENERAL SURGERY OF PALM BEACH, LLC

NPI Number
1104067222
Enumeration Date

(more than 17 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
GENERAL SURGERY OF PALM BEACH, LLC
Doing Business As (dba): PALM BEACH MEDICAL GROUP
Primary location
3319 STATE ROAD 7
SUITE 207
WELLINGTON, FL 33449-8094
Phone: (561) 753-1101 Fax: (561) 753-1105
Mailing address
11101 S CROWN WAY
SUITE 1
WELLINGTON, FL 33414-8792
Phone: (561) 795-9150 Fax: (561) 798-7700
Organization Subpart
No
Authorized Official
DAMARYS PEREZ
OWNER
Phone: (561) 753-1101
Updated
Identifiers

Identifiers for PALM BEACH MEDICAL GROUP

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBCBSFLFL0027V
MEDICAIDFL003935000
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208600000X
- Surgery (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.