Healthcare Provider Details

I. General information

NPI: 1710103890
Provider Name (Legal Business Name): JOSE ALBERTO NAVARRO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/18/2007
Last Update Date: 07/03/2023
Certification Date: 07/03/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4700 N CONGRESS AVE SUITE 103
WEST PALM BEACH FL
33407
US

IV. Provider business mailing address

4700 N CONGRESS AVE SUITE 103
WEST PALM BEACH FL
33407
US

V. Phone/Fax

Practice location:
  • Phone: 561-968-7111
  • Fax: 561-968-1800
Mailing address:
  • Phone: 561-968-7111
  • Fax: 561-968-1800

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number228606
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License NumberME98794
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: