Palm Beach Gardens Surgery, LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

OS11728 Issued in FL

Legal business name

PALM BEACH GARDENS SURGERY, LLC

Practice address

3370 Burns Rd
Suite 102
Palm Beach Gardens, FL 33410-4327

Phone

(561) 694-6911

Fax

(561) 625-3239

NPI assigned

Dec 12, 2014

Last updated

Dec 12, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John Bacha, DO

Title

Owner

Phone

(561) 694-6911

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1418342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418342400000",
    "number": "1225436900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3370 BURNS RD",
            "address_2": "SUITE 102",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104327",
            "telephone_number": "561-694-6911",
            "fax_number": "561-625-3239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3370 BURNS RD",
            "address_2": "SUITE 102",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104327",
            "telephone_number": "561-694-6911",
            "fax_number": "561-625-3239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM BEACH GARDENS SURGERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-12",
        "last_updated": "2014-12-12",
        "status": "A",
        "authorized_official_last_name": "BACHA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-694-6911",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "OS11728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Palm Beach Gardens Dental Associates
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• Palm Beach Gardens Ortho Location LLC (The Smile Store)
• Palm Beach Gardens Regional Surgery Center LLC
• Palm Beach General Surgery and Hernia Center PLLC
• Palm Beach Hearing Associates, PLLC
• Palm Beach Heart Group P a
• Palm Beach Internal Medicine
• Palm Beach Neurology

• Surgery Physician in Palm Beach Gardens, FL
• Providers in Palm Beach Gardens, FL by specialty
• Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2014; 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.