Healthcare Provider Details

I. General information

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

II. Dates (important events)

Enumeration Date: 10/06/2014
Last Update Date: 11/29/2021
Certification Date: 11/29/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2237 S CONGRESS AVE
PALM SPRINGS FL
33406-7605
US

IV. Provider business mailing address

2237 S CONGRESS AVE
PALM SPRINGS FL
33406-7605
US

V. Phone/Fax

Practice location:
  • Phone: 561-508-7066
  • Fax:
Mailing address:
  • Phone: 561-508-7066
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XS0106X
TaxonomyOrthopaedic Hand Surgery Physician
License NumberME102418
License Number StateFL

VIII. Authorized Official

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