Healthcare Provider Details

I. General information

NPI: 1699880229
Provider Name (Legal Business Name): PERINATAL AND GYNECOLOGIC SPECIALISTS OF THE PALM BEACHES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2006
Last Update Date: 07/01/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

770 NORTHPOINT PKWY SUITE 200
WEST PALM BEACH FL
33407-1901
US

IV. Provider business mailing address

2979 PGA BLVD SUITE 200
PALM BEACH GARDENS FL
33410-2911
US

V. Phone/Fax

Practice location:
  • Phone: 561-655-3331
  • Fax: 561-655-3744
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: VICE PRESIDENT
Credential: MD
Phone: 561-655-3331