# BEDOTTO WALLACE CLEWNER & KELLY, MD, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285654723
- **Authorized official:** LAWRENCE CLEWNER MD (PRESIDENT)
- **Authorized official phone:** (561) 395-5666

## Contact information

- **Practice address:** 1701 N FEDERAL HWY, BOCA RATON, FL 33432-1909
- **Practice address phone:** (561) 395-5666
- **Practice address fax:** (561) 368-0883
- **Mailing address:** 1701 N FEDERAL HWY, BOCA RATON, FL 33432-1909
- **Mailing address phone:** (561) 395-5666
- **Mailing address fax:** (561) 368-0883

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/20/2006
- **Last updated:** 09/13/2011