Organization Active NPI

Palm Beach General Surgery LLC

  • Surgery Physician
  • Atlantis, FL
National Provider Identifier
1710040266
Registry record updated Dec 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME88693 Issued in FL
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, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2007

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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.

National Provider Directory

National Provider Directory

Locations

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.

View all 72

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

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.

Verify at the official NPI Registry.