# BETHESDA HEALTH PHYSICIAN GROUP, INC.

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

## Provider details

- **NPI number:** 1699863936
- **Authorized official:** MARCELLA GRAVALESE (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (561) 955-5155

## Contact information

- **Practice address:** 2815 S SEACREST BLVD, BOYNTON BEACH, FL 33435-7969
- **Practice address phone:** (561) 737-7733
- **Practice address fax:** (561) 733-5912
- **Mailing address:** 2815 S SEACREST BLVD, BOYNTON BEACH, FL 33435-7969
- **Mailing address phone:** (561) 737-7733
- **Mailing address fax:** (561) 733-5912

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/11/2006
- **Last updated:** 04/18/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 119515300 | — | FL |
| 05 | — | 2563126 | — | FL |