Palm Beach General Surgery LLC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

ME93782 Issued in FL

Legal business name

PALM BEACH GENERAL SURGERY LLC

Doing business as

JFK Medical Specialists

Practice address

5511 S Congress Ave
Suite 135
Atlantis, FL 33462-1140

Phone

(561) 548-3716

NPI assigned

Apr 25, 2007

Last updated

Aug 22, 2020By 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

Mr. Gary Duncan

Title

VP

Phone

(561) 548-3821

Specialties & licenses 1

Addresses

Other names 1

• JFK Medical Specialists Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Palm Beach General Surgery LLC

  • Surgery Physician
  • Loxahatchee, FL
  • NPI 1235326760

  O20070409000637

  Same enrollment
• Palm Beach General Surgery LLC

  • Surgery Physician
  • Atlantis, FL
  • NPI 1710040266

  O20070409000637

  Same enrollment

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801015177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5511 S CONGRESS AVE",
            "address_2": "SUITE 135",
            "city": "ATLANTIS",
            "state": "FL",
            "postal_code": "334621140",
            "telephone_number": "561-548-3716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5511 S CONGRESS AVE",
            "address_2": "SUITE 135",
            "city": "ATLANTIS",
            "state": "FL",
            "postal_code": "334621140",
            "telephone_number": "561-548-3716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM BEACH GENERAL SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DUNCAN",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "561-548-3821",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME93782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JFK Medical Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Palm Beach Aquatics & Rehabilitation
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• Palm Beach Emergency Medicine Associates PL
• Palm Beach General Surgery Dba Women's Health and Healing
• Palm Beach General Surgery LLC
• Palm Beach Heart Associates PA
• Palm Beach Hospitalists Program,LLC
• Palm Beach Imaging Group LLC
• Palm Beach Neurosurgery LLC
• Palm Beach Surgical Associates

• Gastroenterology Physician in Atlantis, FL
• Providers in Atlantis, FL by specialty
• Gastroenterology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.