| Fau Sports Medicine | |
|
777 Glades Rd Department Of Atlhletics Boca Raton FL 33431-6424 | |
| (800) 555-9073 | |
| (972) 367-3452 |
| Full Name | Fau Sports Medicine |
|---|---|
| Speciality | Orthopaedic Surgery |
| Location | 777 Glades Rd, Boca Raton, Florida |
| Authorized Official Name and Position | Mouzon Bass (AGENT) |
| Authorized Official Contact | 8005559073 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fau Sports Medicine 777 Glades Rd Boca Raton FL 33431-6424 Ph: (800) 555-9073 | Fau Sports Medicine 777 Glades Rd Department Of Atlhletics Boca Raton FL 33431-6424 Ph: (800) 555-9073 |
| NPI Number | 1134510688 |
|---|---|
| Provider Enumeration Date | 02/05/2015 |
| Last Update Date | 02/05/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134510688 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207X00000X | Orthopaedic Surgery | (* (Not Available)) | Primary |
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