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Organization
GOSPA MEDICAL GROUP, LLC
Active
Organization
GOSPA MEDICAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JACQUELINE FARBER (MGRM)
(561) 299-0910
Entity
Organization
Contact information
Practice address
3452 W BOYNTON BEACH BLVD, STE. 5, BOYNTON BEACH, FL 33436-4633
(561) 299-0910
Mailing address
3452 W BOYNTON BEACH BLVD, STE. 5, BOYNTON BEACH, FL 33436-4633
(561) 299-0910
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
Other
Enumeration date
02/25/2013
Last updated
03/27/2013
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