Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Palm Beach Vascular and Wound Care PA

Organization Internal Medicine Physician · NPI 1093266314

Palm Beach Vascular and Wound Care PA is an Internal Medicine Physician in Jupiter, Florida. Licensed in Florida. Registered with an NPI since 2016.

Licensed in
FL
In the registry since
2016
Specialties on file
2
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1004 S Old Dixie Hwy Ste 203
Jupiter, FL 33458-7200
Phone: (561) 691-1904
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence ME77546 (FL)
Internal Medicine Physician Taxonomy 207R00000X · Licence ME77546 (FL)

Record details

NPI number1093266314
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Suresh Kacham — Md · (561) 691-1904
NPI enumeratedOctober 21, 2016
Last updated in NPPESFebruary 15, 2024
Certification dateFebruary 15, 2024
Mailing address1004 S Old Dixie Hwy Ste 203, Jupiter, FL 33458-7200

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