| |
1501 Corporate Dr Boynton Beach FL 33426-6600 | |
(561) 369-4255 | |
(561) 369-3254 |
Full Name | |
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Speciality | Internal Medicine |
Location | 1501 Corporate Dr, Boynton Beach, Florida |
Authorized Official Name and Position | David R Rodriguez (PRESIDENT) |
Authorized Official Contact | 9545055000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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14201 W Sunrise Blvd Suite 207 Sunrise FL 33323-3207 Ph: (954) 505-5000 | 1501 Corporate Dr Boynton Beach FL 33426-6600 Ph: (561) 369-4255 |
NPI Number | 1942519277 |
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Provider Enumeration Date | 10/05/2010 |
Last Update Date | 04/01/2015 |
Identifier | Type | State | Issuer |
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1942519277 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | ME91277 (Florida) | Primary |
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