# PHYSICIANS SURGICAL GROUP OF BOCA

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

## Provider details

- **NPI number:** 1548401904
- **Authorized official:** CAROLYN VIA (CEO)
- **Authorized official phone:** (561) 368-7118

## Contact information

- **Practice address:** 40 SE 5TH ST, SUITE 406, BOCA RATON, FL 33432-6003
- **Practice address phone:** (561) 368-7118
- **Practice address fax:** (561) 368-7116
- **Mailing address:** 40 SE 5TH ST, SUITE 406, BOCA RATON, FL 33432-6003
- **Mailing address phone:** (561) 368-7118
- **Mailing address fax:** (561) 368-7116

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/16/2009
- **Last updated:** 03/16/2009