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1366730129
BOCA FAMILY MEDICAL GROUP CORP
BOCA RATON, FL
NPI
1366730129
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Entity Type
Organization
Authorized Contact
MIRNA WAIDELE
President
561-391-6552
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2011-07-14
Last Update Date
2011-07-14
Business Address
BOCA FAMILY MEDICAL GROUP CORP
7280 W PALMETTO PARK RD SUITE 104
BOCA RATON, FL 33433-3422
Phone number: 561-391-6552
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Mailing Address
BOCA FAMILY MEDICAL GROUP CORP
7280 W PALMETTO PARK RD SUITE 104
BOCA RATON, FL 33433-3422
Phone number: 561-391-6552
Copy
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