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Organization
WEST BOCA PHYSICIANS GROUP INC
Active
Organization
WEST BOCA PHYSICIANS GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN G. HOLTZCLAW M.D. (PRESIDENT)
(800) 424-3672
Entity
Organization
Contact information
Practice address
21644 STATE ROAD 7, BOCA RATON, FL 33428-1842
(561) 883-7029
Mailing address
14050 NW 14TH ST, SUITE 190, SUNRISE, FL 33323-2865
(800) 424-3672
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
98221
BCBS OF FLORIDA
FL
Enumeration date
10/04/2007
Last updated
12/26/2007
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