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Organization
AMBULATORY SURGERY CENTER OF BOCA RATON, LLC
Active
Organization
AMBULATORY SURGERY CENTER OF BOCA RATON, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANISH GUPTA MD (MEDICAL DIRECTOR)
(561) 544-5501
Entity
Organization
Contact information
Practice address
1905 CLINTMOORE ROAD, SUITE 300, BOCA RATON, FL 33496
(561) 544-5501
(561) 544-5528
Mailing address
1905 CLINTMOORE ROAD, SUITE 300, BOCA RATON, FL 33496
(561) 544-5501
(561) 544-5528
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
01/25/2007
Last updated
04/07/2011
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