Healthcare Provider Details

I. General information

NPI: 1730256538
Provider Name (Legal Business Name): OBGYN SPECIALISTS OF THE PALM BEACHES PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/29/2006
Last Update Date: 09/25/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2979 PGA BLVD SUITE 100
PALM BEACH GARDENS FL
33410-2911
US

IV. Provider business mailing address

770 NORTHPOINT PKWY STE 102
WEST PALM BEACH FL
33407-1901
US

V. Phone/Fax

Practice location:
  • Phone: 561-627-6801
  • Fax: 561-627-6802
Mailing address:
  • Phone: 561-275-7604
  • Fax: 561-802-5385

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: JOHN A BURIGO
Title or Position: PRESIDENT
Credential: MD
Phone: 561-275-7509