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Organization
BOCA MEDICAL GROUP
Active
Organization
BOCA MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILFREDO RICARDO (CEO)
(561) 932-5455
Entity
Organization
Contact information
Practice address
1700 S DIXIE HWY STE 206, BOCA RATON, FL 33432-7452
(561) 932-5455
Mailing address
1700 S DIXIE HWY STE 206, BOCA RATON, FL 33432-7452
(561) 932-5455
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
NULL
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
01/17/2018
Last updated
01/17/2018
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