| Jose E De La Gandara Md Angela Pedraza Md Pa | |
|
2161 Palm Beach Lakes Blvd Suite 215 West Palm Beach FL 33409-6607 | |
| (561) 687-2111 | |
| (561) 687-1777 |
| Full Name | Jose E De La Gandara Md Angela Pedraza Md Pa |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 2161 Palm Beach Lakes Blvd, West Palm Beach, Florida |
| Authorized Official Name and Position | Jose E De La Gandara (CO OWNER) |
| Authorized Official Contact | 5616872111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jose E De La Gandara Md Angela Pedraza Md Pa 2161 Palm Beach Lakes Blvd Suite 215 West Palm Beach FL 33409-6607 Ph: (561) 687-2111 | Jose E De La Gandara Md Angela Pedraza Md Pa 2161 Palm Beach Lakes Blvd Suite 215 West Palm Beach FL 33409-6607 Ph: (561) 687-2111 |
| NPI Number | 1033165618 |
|---|---|
| Provider Enumeration Date | 05/26/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033165618 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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