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Organization
ISLAND LIFE MD LLC
Active
Organization
ISLAND LIFE MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOMINIK CHRZAN MD (PRESIDENT)
(215) 740-5746
Entity
Organization
Contact information
Practice address
9970 CENTRAL PARK BLVD N, SUITE 102, BOCA RATON, FL 33428-2231
(561) 430-3599
(561) 430-3529
Mailing address
1015 SPANISH RIVER RD APT 202, BOCA RATON, FL 33432-7607
(215) 740-5746
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME117139
FL
Other
Enumeration date
04/09/2015
Last updated
04/09/2015
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