| Trudelldoctormd, LLC | |
|
6080 Boynton Beach Blvd Ste 230 Boynton Beach FL 33437-3588 | |
| (561) 807-7780 | |
| (866) 950-0144 |
| Full Name | Trudelldoctormd, LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 6080 Boynton Beach Blvd Ste 230, Boynton Beach, Florida |
| Authorized Official Name and Position | Marcia Rivera (PRACTICE ADMIN) |
| Authorized Official Contact | 5612548134 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Trudelldoctormd, LLC 6080 Boynton Beach Blvd Ste 230 Boynton Beach FL 33437-3588 Ph: (561) 807-7780 | Trudelldoctormd, LLC 6080 Boynton Beach Blvd Ste 230 Boynton Beach FL 33437-3588 Ph: (561) 807-7780 |
| NPI Number | 1891433249 |
|---|---|
| Provider Enumeration Date | 05/25/2022 |
| Last Update Date | 05/25/2022 |
| Certification Date | 05/25/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891433249 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
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