| Florida Atlantic University | |
|
880 Nw 13th St Ste 400 Boca Raton FL 33486-2342 | |
| (561) 297-4814 | |
| Not Available |
| Full Name | Florida Atlantic University |
|---|---|
| Speciality | Internal Medicine |
| Location | 880 Nw 13th St Ste 400, Boca Raton, Florida |
| Authorized Official Name and Position | Louisa Pontiroli-kelly (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 5612972897 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Florida Atlantic University 777 Glades Road College Of Medicine, Bc-71, Finance Office Boca Raton FL 33431 Ph: (561) 566-5328 | Florida Atlantic University 880 Nw 13th St Ste 400 Boca Raton FL 33486-2342 Ph: (561) 297-4814 |
| NPI Number | 1396211421 |
|---|---|
| Provider Enumeration Date | 10/16/2018 |
| Last Update Date | 03/24/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396211421 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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