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Organization
NORTH GENERAL CENTER OF MEDICINE
Active
Organization
NORTH GENERAL CENTER OF MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEAN LAVENTURE RENELIEN M.D (OWNER)
(561) 414-6248
Entity
Organization
Contact information
Practice address
1325 S CONGRESS AVE STE 101, BOYNTON BEACH, FL 33426-5802
(561) 733-2929
(561) 736-8467
Mailing address
1325 S CONGRESS AVE, BOYNTON BEACH, FL 33426-5876
(561) 733-2929
(561) 736-8467
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
208D00000X
General Practice Physician
ME86189
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
265955700
—
FL
Enumeration date
05/18/2007
Last updated
11/11/2022
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