1851038830 NPI number — CENTER FOR BONE & JOINT SURGERY OF THE PALM BEACHES, P.A.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1851038830 NPI number — CENTER FOR BONE & JOINT SURGERY OF THE PALM BEACHES, P.A.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CENTER FOR BONE & JOINT SURGERY OF THE PALM BEACHES, P.A.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1851038830
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/23/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
10131 FOREST HILL BLVD STE 230
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WELLINGTON
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33414-6109
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
617-986-6005
Provider Business Mailing Address Fax Number:
561-633-4273

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
190 CONGRESS PARK DR STE 160
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DELRAY BEACH
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33445-4707
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
561-798-6600
Provider Business Practice Location Address Fax Number:
561-633-4273
Provider Enumeration Date:
05/19/2022

Additional Information

Authorized Official

Authorized Official Last Name:
BAUZO
Authorized Official First Name:
ZULMA
Authorized Official Middle Name:
Authorized Official Title or Position:
DIRECTOR, CREDENTIALING
Authorized Official Telephone Number:
561-803-8616

Provider Taxonomy Codes

  • Taxonomy code: 207X00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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