# 4D HEALTHWARE VIRTUAL SPECIALTY CARE LLC

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

## Provider details

- **NPI number:** 1508558412
- **Authorized official:** JONATHAN HINDS MD (OWNER)
- **Authorized official phone:** (407) 361-1044

## Contact information

- **Practice address:** 17880 KEY VISTA WAY, BOCA RATON, FL 33496-1040
- **Practice address phone:** (407) 361-1044
- **Mailing address:** 9858 CLINT MOORE RD STE C111, BOCA RATON, FL 33496-1044

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/22/2023
- **Last updated:** 05/22/2023