MEDICARE: HAND & WRIST SPECIALISTS OF THE PALM BEACHES PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207XS0106X	Orthopaedic Hand Surgery Physician	ME102418	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1285037176
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HAND & WRIST SPECIALISTS OF THE PALM BEACHES PA

Provider Business Mailing Address
First Line	:	2237 S CONGRESS AVE
Second Line	:
City	:	PALM SPRINGS
State	:	FL
Zip	:	33406-7605
Country	:	US
Telephone Number	:	561-508-7066
Fax Number	:

Provider Business Practice Location Address
First Line	:	2237 S CONGRESS AVE
Second Line	:
City	:	PALM SPRINGS
State	:	FL
Zip	:	33406-7605
Country	:	US
Telephone Number	:	561-508-7066
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. LAURA WHITE KOLSHAK
Credential	:	M.D., M.S.
Telephone Number	:	561-508-7066

Provider Enumeration Date	:	10/06/2014
Last Update Date	:	11/29/2021

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