Organization
SANCTUARY MEDICAL AESTHETIC CENTER OF BOCA RATON LLC
Active
Organization
SANCTUARY MEDICAL AESTHETIC CENTER OF BOCA RATON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF DAVIS (CEO)
(561) 430-6644
Entity
Organization
Contact information
Practice address
4800 N FEDERAL HWY, SUITE C100, BOCA RATON, FL 33431-5188
(561) 886-0970
Mailing address
4800 N FEDERAL HWY, SUITE C100, BOCA RATON, FL 33431-5188
(561) 886-0970
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
01/12/2016
Last updated
05/20/2016
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