South Palm Beach Surgical Associates, Pl
South Palm Beach Surgical Associates, Pl is a Surgery Physician in Boca Raton, Florida. Licensed in Florida. Registered with an NPI since 2011.
- Licensed in
- FL
- In the registry since
- 2011
Practice location Address checks out
1601 Clint Moore Rd Ste 145Boca Raton, FL 33487-2768
Phone: (561) 939-0455
Fax: (561) 939-5460
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Specialties & licences
| Surgery Physician (primary) | Taxonomy 208600000X · Licence ME35997 (FL) |
|---|
Record details
| NPI number | 1750662912 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jonathan Wideroff — Owner · (561) 939-0455 |
| NPI enumerated | September 1, 2011 |
| Last updated in NPPES | September 1, 2011 |
| Mailing address | 1601 Clint Moore Rd, Suite 145, Boca Raton, FL 33487-2768 |
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