ISLAND LIFE MD LLC

BOCA RATON, FL
NPI1093101784
Entity TypeOrganization
Authorized ContactDOMINIK CHRZAN
President
215-740-5746
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: FL  ME117139)
Enumeration Date2015-04-09
Last Update Date2015-04-09
Business Address
ISLAND LIFE MD LLC
9970 CENTRAL PARK BLVD N SUITE 102
BOCA RATON, FL 33428-2231
Phone number: 561-430-3599
Mailing Address
ISLAND LIFE MD LLC
1015 SPANISH RIVER RD APT 202
BOCA RATON, FL 33432-7607
Phone number: 215-740-5746
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