Healthcare Provider Details
I. General information
NPI: 1811068117
Provider Name (Legal Business Name): GARBER & SHEMESH MD PA
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/10/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4675 LINTON BLVD STE 200
DELRAY BEACH FL
33445-6611
US
IV. Provider business mailing address
4675 LINTON BLVD STE 200
DELRAY BEACH FL
33445-6611
US
V. Phone/Fax
- Phone: 561-495-0660
- Fax: 561-495-0677
- Phone: 561-495-0660
- Fax: 561-495-0677
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208600000X |
| Taxonomy | Surgery Physician |
| License Number | |
| License Number State | FL |
VIII. Authorized Official
Name: DR.
HARVEY
IVAN
GARBER
Title or Position: PRESIDENT
Credential: MD
Phone: 561-495-0660