| |
101 Plaza Real S, Suite G., Boca Raton, FL 33432-4837 | |
(561) 353-2265 | |
(561) 353-2267 |
Full Name | |
---|---|
Type | Facility |
Speciality | General Practice |
Location | 101 Plaza Real S, Boca Raton, Florida |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427356617 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
171100000X | Acupuncturist | AP2366 (Florida) | Secondary |
208D00000X | General Practice | ME36889 (Florida) | Primary |
Mailing Address | Practice Location Address |
---|---|
2561 Nw 79th Ave, Margate, FL 33063-8156 Ph: (561) 353-2265 | 101 Plaza Real S, Suite G., Boca Raton, FL 33432-4837 Ph: (561) 353-2265 |