| Ourtopclinic Llc | |
|
16 Camden Ln Boynton Beach FL 33426-7764 | |
| (971) 777-6464 | |
| Not Available |
| Full Name | Ourtopclinic Llc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 16 Camden Ln, Boynton Beach, Florida |
| Authorized Official Name and Position | Naurah Theodora Gaspard (APRN) |
| Authorized Official Contact | 9717776464 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ourtopclinic Llc 16 Camden Ln Boynton Beach FL 33426-7764 Ph: (954) 856-3315 | Ourtopclinic Llc 16 Camden Ln Boynton Beach FL 33426-7764 Ph: (971) 777-6464 |
| NPI Number | 1003696089 |
|---|---|
| Provider Enumeration Date | 10/05/2023 |
| Last Update Date | 10/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003696089 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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