| West Boca Family Medicine | |
|
7100 W Camino Real Suite 121 Boca Raton FL 33433-5510 | |
| (561) 850-9124 | |
| (404) 666-5100 |
| Full Name | West Boca Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 7100 W Camino Real, Boca Raton, Florida |
| Authorized Official Name and Position | Adrea Rose Samoleski (PRESIDENT) |
| Authorized Official Contact | 5618509124 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West Boca Family Medicine 9563 Lake Serena Dr Boca Raton FL 33496-6516 Ph: (561) 850-9124 | West Boca Family Medicine 7100 W Camino Real Suite 121 Boca Raton FL 33433-5510 Ph: (561) 850-9124 |
| NPI Number | 1417307331 |
|---|---|
| Provider Enumeration Date | 06/22/2016 |
| Last Update Date | 06/22/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417307331 | NPI | - | NPPES |
| ME95765 | Other | FL | MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME95765 (Florida) | Primary |
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