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Organization
SURGICAL ARTS OF BOCA RATON LLC
Active
Organization
SURGICAL ARTS OF BOCA RATON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON PORTNOF MD DMD (PRESIDENT)
(561) 717-3660
Entity
Organization
Contact information
Practice address
9980 CENTRAL PARK BLVD N STE 113, BOCA RATON, FL 33428-1703
(917) 882-5013
Mailing address
9980 CENTRAL PARK BLVD N STE 113, BOCA RATON, FL 33428-1703
(561) 717-3660
(561) 717-3650
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
—
Other
Enumeration date
04/10/2018
Last updated
04/04/2019
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