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Organization
PCP 1ST
Active
Organization
PCP 1ST
Active
Other names
PCP 1st
Organization subpart
No
Provider details
NPI number
Authorized official
YEENY GONZALEZ (PRESIDENT)
(954) 803-3564
Entity
Organization
Contact information
Practice address
17188 NEWPORT CLUB DR, BOCA RATON, FL 33496-3009
(954) 803-3564
Mailing address
2901 CLINT MOORE RD # 119, BOCA RATON, FL 33496-2041
(954) 803-3564
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/28/2020
Last updated
03/28/2020
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