| Gospa Medical Group, Llc | |
|
3452 W Boynton Beach Blvd Ste. 5 Boynton Beach FL 33436-4633 | |
| (561) 299-0910 | |
| Not Available |
| Full Name | Gospa Medical Group, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3452 W Boynton Beach Blvd, Boynton Beach, Florida |
| Authorized Official Name and Position | Jacqueline Farber (MGRM) |
| Authorized Official Contact | 5612990910 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gospa Medical Group, Llc 3452 W Boynton Beach Blvd Ste. 5 Boynton Beach FL 33436-4633 Ph: (561) 299-0910 | Gospa Medical Group, Llc 3452 W Boynton Beach Blvd Ste. 5 Boynton Beach FL 33436-4633 Ph: (561) 299-0910 |
| NPI Number | 1376883587 |
|---|---|
| Provider Enumeration Date | 02/25/2013 |
| Last Update Date | 03/27/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376883587 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
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