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Organization
SEACREST MEDICAL GROUP PA
Active
Organization
SEACREST MEDICAL GROUP PA
Active
Other names
SEACREST MEDICAL OFFICE DIAGNOSTIC
Organization subpart
No
Provider details
NPI number
Authorized official
JEAN RICHARD ETIENNE MD (PHYSICIAN)
(561) 738-7611
Entity
Organization
Contact information
Practice address
2848 S SEACREST BLVD, BOYNTON BEACH, FL 33435-7935
(561) 738-7611
(561) 738-7622
Mailing address
2848 S SEACREST BLVD, BOYNTON BEACH, FL 33435-7935
(561) 738-7611
(561) 738-7622
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME94948
FL
Other
Enumeration date
06/01/2007
Last updated
10/14/2020
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