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General NPI Number Information
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NPI Number | 1255221586
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Entity Type | Organization
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Legal Business Name | PALM BEACH SURGICAL SPECIALISTS LLC
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Dates
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Enumeration Date | 07/08/2025
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Last Update Date | 07/08/2025
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Provider Practice Location Address
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Address Line | 560 VILLAGE BLVD STE 200
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City | WEST PALM BEACH
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State | FL
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Zip | 33409-1963
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Country | US
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Telephone | 561-694-6911
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Fax |
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Provider Business Mailing Address
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Address Line | 5987 TIFFANY PL
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City | WEST PALM BEACH
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State | FL
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Zip | 33417-4339
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | RAMON VAZQUEZ
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Credential |
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Telephone | 561-234-0394
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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