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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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