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Organization
TRUDELLDOCTORMD, LLC
Active
Organization
TRUDELLDOCTORMD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCIA RIVERA (PRACTICE ADMIN)
(561) 254-8134
Entity
Organization
Contact information
Practice address
6080 BOYNTON BEACH BLVD STE 230, BOYNTON BEACH, FL 33437-3588
(561) 807-7780
(866) 950-0144
Mailing address
6080 BOYNTON BEACH BLVD STE 230, BOYNTON BEACH, FL 33437-3588
(561) 807-7780
(866) 950-0144
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/25/2022
Last updated
05/25/2022
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