| Multispecialty Group, Llc | |
|
8682 Tourmaline Blvd Boynton Beach FL 33472-2420 | |
| (561) 777-4402 | |
| (689) 348-4860 |
| Full Name | Multispecialty Group, Llc |
|---|---|
| Speciality | Specialist |
| Location | 8682 Tourmaline Blvd, Boynton Beach, Florida |
| Authorized Official Name and Position | Lisette Ten Hoopen (MANAGING OWNER) |
| Authorized Official Contact | 3055056881 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Multispecialty Group, Llc 8682 Tourmaline Blvd Boynton Beach FL 33472-2420 Ph: (305) 505-6881 | Multispecialty Group, Llc 8682 Tourmaline Blvd Boynton Beach FL 33472-2420 Ph: (561) 777-4402 |
| NPI Number | 1427392141 |
|---|---|
| Provider Enumeration Date | 11/19/2012 |
| Last Update Date | 06/30/2023 |
| Certification Date | 06/30/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427392141 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP1600X | Counselor - Pastoral | (* (Not Available)) | Secondary |
| 174400000X | Specialist | (Florida) | Primary |
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