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General NPI Number Information
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NPI Number | 1205214947
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Entity Type | Organization
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Legal Business Name | COMPREHENSIVE PAIN OF THE PALM BEACHES PLLC
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Dates
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Enumeration Date | 05/14/2015
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Last Update Date | 09/26/2024
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Provider Practice Location Address
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Address Line | 4897 S JOG RD SUITE B
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City | GREENACRES
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State | FL
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Zip | 33467-5000
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Country | US
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Telephone | 561-434-7577
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Fax | 561-434-3440
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Provider Business Mailing Address
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Address Line | 4897 S JOG RD SUITE B
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City | GREENACRES
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State | FL
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Zip | 33467-5000
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Country | US
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Telephone | 561-434-7577
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Fax | 561-434-3440
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | MR. BART G GATZ
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Credential | M.D.
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Telephone | 561-434-7577
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | ME0076064
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License Number State | FL
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