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Organization
BOCA RATON ORTHOPEDIC ASSOCIATES PL
Active
Organization
BOCA RATON ORTHOPEDIC ASSOCIATES PL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARC BERGMAN M.D. (PRESIDENT)
(561) 241-8668
Entity
Organization
Contact information
Practice address
1905 CLINT MOORE RD, SUITE 214, BOCA RATON, FL 33496-2658
(561) 241-8668
(561) 912-9556
Mailing address
1905 CLINT MOORE RD, SUITE 214, BOCA RATON, FL 33496-2658
(561) 241-8668
(561) 912-9556
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
NULL
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BS38459
BLUE CROSS BLUE SHIELD
FL
Enumeration date
09/25/2006
Last updated
08/04/2008
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