| Gentera Med Boca Llc | |
|
7815 Nw Beacon Square Blvd Ste 101 Boca Raton FL 33487-1345 | |
| (561) 475-3877 | |
| (561) 334-2956 |
| Full Name | Gentera Med Boca Llc |
|---|---|
| Speciality | Chiropractor |
| Location | 7815 Nw Beacon Square Blvd Ste 101, Boca Raton, Florida |
| Authorized Official Name and Position | Sasha Connolly (DIRECTOR OF BUSINESS DEVELOPMENT) |
| Authorized Official Contact | 6175680475 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gentera Med Boca Llc 7815 Nw Beacon Square Blvd Ste 101 Boca Raton FL 33487-1345 Ph: (561) 475-3877 | Gentera Med Boca Llc 7815 Nw Beacon Square Blvd Ste 101 Boca Raton FL 33487-1345 Ph: (561) 475-3877 |
| NPI Number | 1538773023 |
|---|---|
| Provider Enumeration Date | 09/02/2020 |
| Last Update Date | 11/10/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538773023 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
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