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Organization
BOCA RATON OPHTHALMOLOGY ASC LLC
Active
Organization
BOCA RATON OPHTHALMOLOGY ASC LLC
Active
Other names
Outpatient Surgery Center of Boca Raton
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY SNODGRASS (PRESIDENT)
(615) 665-1283
Entity
Organization
Contact information
Practice address
950 NW 13TH ST, BOCA RATON, FL 33486-2310
(561) 391-7642
(561) 391-2854
Mailing address
1A BURTON HILLS BLVD # L&C, NASHVILLE, TN 37215-6187
(615) 240-3820
(615) 234-1720
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
1073
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
62650623
HUMANA MILITARY HEALTHCA
FL
Enumeration date
02/06/2006
Last updated
10/31/2022
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