| Keviene Rutherford Md Pa | |
|
10075 S Jog Rd Suite 311 Boynton Beach FL 33437-3535 | |
| (561) 732-8355 | |
| (561) 732-8358 |
| Full Name | Keviene Rutherford Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 10075 S Jog Rd, Boynton Beach, Florida |
| Authorized Official Name and Position | Keviene Rutherford (PRESIDENT) |
| Authorized Official Contact | 5617328355 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Keviene Rutherford Md Pa 10075 Jog Road Suite 311 Boynton Beach FL 33437-3537 Ph: (561) 732-8355 | Keviene Rutherford Md Pa 10075 S Jog Rd Suite 311 Boynton Beach FL 33437-3535 Ph: (561) 732-8355 |
| NPI Number | 1235283854 |
|---|---|
| Provider Enumeration Date | 01/22/2007 |
| Last Update Date | 04/20/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235283854 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME87247 (Florida) | Primary |
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