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Organization
GLUTALITY PROVIDER GROUP, P.A.
Active
Organization
GLUTALITY PROVIDER GROUP, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN M SORTINO (OWNER)
(561) 596-7517
Entity
Organization
Contact information
Practice address
5300 BROKEN SOUND BLVD NW STE 200, BOCA RATON, FL 33487-3514
(561) 678-2026
(561) 423-9249
Mailing address
5300 BROKEN SOUND BLVD NW STE 200, BOCA RATON, FL 33487-3514
(561) 678-2026
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
10/10/2019
Last updated
01/14/2025
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