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NPI Code Detail

MEDICARE: H GREGORY BACH PL

MEDICARE: H GREGORY BACH PL
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
1261QU0200XUrgent Care Clinic/CenterME98091FL

General Provider Information

NPI Number : 1942696190
Entity Type Code : Organization
Provider Name (Legal Business Name) : H GREGORY BACH PL
Provider Business Mailing Address
First Line : 8200 OKEECHOBEE BLVD
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33411-2099
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8200 OKEECHOBEE BLVD
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33411-2099
Country : US
Telephone Number : 561-964-1111
Fax Number : 561-967-3144
Authorized Official
Title or Position : OWNER/PHYSICIAN
Name : DR. HAROLD BACH
Credential : MD
Telephone Number : 561-964-1111
Provider Enumeration Date : 04/14/2015
Last Update Date : 01/27/2017

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