Active NPI
Palm Beach General Surgery LLC
- Surgery Physician
- Atlantis, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- ME88693
- Legal business name
- PALM BEACH GENERAL SURGERY LLC
- Practice address
- 142 JFK Drive
Atlantis, FL 33462 - Phone
- (561) 439-1500
- NPI assigned
- Dec 18, 2006
- Last updated
- Dec 10, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Gary Duncan
- Title
- Vice President
- Phone
- (561) 548-3821
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | ME88693 | FL | Primary |
Addresses
Primary practice location
142 JFK Drive
Atlantis, FL 33462
Mailing address
142 JFK Drive
Atlantis, FL 33462
Phone (561) 439-1500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070409000637 | FL | Part B Supplier - Clinic/Group Practice | 1456455021 |
Receives reassigned benefits from 86 practitioners 2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment |
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba JFK Medical Specialists
- Gastroenterology Physician
- Atlantis, FL
- NPI 1801015177
O20070409000637
National Provider Directory
National Provider DirectoryLocations
180 John F Kennedy Dr
Ste 200
Atlantis, FL 33462
Phone (561) 973-4141
5301 S Congress Ave
Ste 400
Atlantis, FL 33462
Phone (561) 548-1721
7630 SW 34th Mnr
Ste 450
Davie, FL 33328
Phone (954) 372-1429
10725 NW 58th St
Ste C7
Doral, FL 33178
Phone (305) 629-9644
2402 Frist Blvd
Ste 204
Fort Pierce, FL 34950
Phone (772) 466-1113
142 John F Kennedy Dr
Lake Worth, FL 33462
Phone (561) 439-1500
13005 Southern Blvd
Ste 132
Loxahatchee, FL 33470
Phone (561) 548-8600
21097 NE 27th Ct
Ste 210
Miami, FL 33180
Phone (305) 328-9557
3641 S Miami Ave
Ste 221
Miami, FL 33133
Phone (305) 285-2125
1713 US Highway 441 N
Ste H
Okeechobee, FL 34972
Phone (863) 357-0540
1812 US Highway 441 N
Ste 310
Okeechobee, FL 34972
1812 US Highway 441 N
Ste 310A
Okeechobee, FL 34972
Phone (863) 357-1510
4671 S Congress Ave
Ste 101
Palm Springs, FL 33461
Phone (561) 432-8935
1881 SE Tiffany Ave
Ste 3A
Port Saint Lucie, FL 34952
1400 SE Goldtree Dr
Ste 102104
Port St Lucie, FL 34952
Phone (772) 398-7814
1881 SE Tiffany Ave
Ste 300
Port St Lucie, FL 34952
1881 SE Tiffany Ave
Ste 301
Port St Lucie, FL 34952
1943 SE Port St Lucie Blvd
Port St Lucie, FL 34952
Phone (772) 335-3400
293 NW Peacock Blvd
Ste 202
Port St Lucie, FL 34986
Phone (772) 595-5302
12651 W Sunrise Blvd
Ste 202
Sunrise, FL 33323
Phone (954) 838-7200
Practitioners & affiliated clinicians
Practitioners 72
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Surgery Physician
- Okeechobee, FL
- NPI 1144479817
-
- Nurse Practitioner
- Sebastian, FL
- NPI 1619094943
-
- Family Medicine Physician
- Fort Lauderdale, FL
- NPI 1801114509
-
- Colon & Rectal Surgery Physician
- Atlantis, FL
- NPI 1215176474
-
- Family Nurse Practitioner
- Lake Worth, FL
- NPI 1720646003
-
- Family Medicine Physician
- Sunrise, FL
- NPI 1609812437
-
- Surgery Physician
- Doral, FL
- NPI 1700929197
-
- Vascular Surgery Physician
- Fort Pierce, FL
- NPI 1922275866
-
- Vascular Surgery Physician
- Fort Pierce, FL
- NPI 1598887275
-
- Gynecology Physician
- Atlantis, FL
- NPI 1174690986
-
- Family Nurse Practitioner
- Loxahatchee, FL
- NPI 1053840090
-
- Surgery Physician
- Port St Lucie, FL
- NPI 1598887010
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166400000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1197244800000",
"number": "1710040266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "142 JFK DRIVE",
"city": "ATLANTIS",
"state": "FL",
"postal_code": "33462",
"telephone_number": "561-439-1500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "142 JFK DRIVE",
"city": "ATLANTIS",
"state": "FL",
"postal_code": "33462",
"telephone_number": "561-439-1500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PALM BEACH GENERAL SURGERY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-18",
"last_updated": "2007-12-10",
"status": "A",
"authorized_official_last_name": "DUNCAN",
"authorized_official_first_name": "GARY",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "561-548-3821",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "FL",
"license": "ME88693",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlantis, FL
- Charles Palilla, M.D.
- Palm Beach Aquatics & Rehabilitation
- Palm Beach Emergency Assoc. Inc
- Palm Beach Emergency Medicine Associates PL
- Palm Beach General Surgery Dba Women's Health and Healing
- Palm Beach General Surgery LLC (JFK Medical Specialists)
- Palm Beach Heart Associates PA
- Palm Beach Hospitalists Program,LLC
- Palm Beach Imaging Group LLC
- Palm Beach Neurosurgery LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.