| Family Medicine Of Boca Raton Associates Llc | |
|
5458 Town Center Rd Ste 21 Boca Raton FL 33486-1009 | |
| (561) 750-7300 | |
| (561) 750-8918 |
| Full Name | Family Medicine Of Boca Raton Associates Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 5458 Town Center Rd Ste 21, Boca Raton, Florida |
| Authorized Official Name and Position | Laureen M Fleck (CEO) |
| Authorized Official Contact | 5617507300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Medicine Of Boca Raton Associates Llc 5458 Town Center Rd Ste 21 Boca Raton FL 33486-1009 Ph: (561) 750-7300 | Family Medicine Of Boca Raton Associates Llc 5458 Town Center Rd Ste 21 Boca Raton FL 33486-1009 Ph: (561) 750-7300 |
| NPI Number | 1568523652 |
|---|---|
| Provider Enumeration Date | 12/12/2006 |
| Last Update Date | 06/24/2010 |
| Medicare PECOS PAC ID | 6204908569 |
|---|---|
| Medicare Enrollment ID | O20080701000324 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568523652 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | William Mazzei |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972586501 PECOS PAC ID: 2365345063 Enrollment ID: I20040129001121 |
| Provider Name | Laureen M. Fleck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972524536 PECOS PAC ID: 6507754785 Enrollment ID: I20080701000343 |
| Provider Name | Renato Segura |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356663306 PECOS PAC ID: 5991972390 Enrollment ID: I20120622000498 |
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