General Surgery of Palm Beach, LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

GENERAL SURGERY OF PALM BEACH, LLC

Doing business as

Palm Beach Medical Group

Practice address

3319 State Road 7
Suite 207
Wellington, FL 33449-8094

Phone

(561) 753-1101

Fax

(561) 753-1105

NPI assigned

Mar 19, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Damarys Perez

Title

Owner

Phone

(561) 753-1101

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Palm Beach Medical Group Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1237420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344211200000",
    "number": "1104067222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11101 S CROWN WAY",
            "address_2": "SUITE 1",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334148792",
            "telephone_number": "561-795-9150",
            "fax_number": "561-798-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3319 STATE ROAD 7",
            "address_2": "SUITE 207",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334498094",
            "telephone_number": "561-753-1101",
            "fax_number": "561-753-1105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENERAL SURGERY OF PALM BEACH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-19",
        "last_updated": "2012-08-06",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "DAMARYS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-753-1101",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003935000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSFL",
            "identifier": "0027V",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palm Beach Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael Gay
• Robert M Gaynor, DPM
• Sarah Gaynor
• Germelia Gede
• Katrina Marie Rosiak Gener, DO
• Genesiscare USA of Florida LLC
• Genesiscare USA of Florida LLC
• Genesiscare USA of Florida, LLC
• Geneve Healthcare Corp
• Amanda S Genser, ARNP

• Surgery Physician in Wellington, FL
• Providers in Wellington, FL by specialty
• Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.