Organization
JERALD VIZZONE, D.O.
Active
Parent organization
INJURY TREATMENT CENTER OF SOUTH FLORIDA, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
INJURY TREATMENT CENTER OF SOUTH FLORIDA, INC.
Authorized official
DR. JERALD VIZZONE D.O. (PHYSICIAN)
(561) 416-1145
Entity
Organization
Contact information
Practice address
1900 GLADES RD, #100, BOCA RATON, FL 33431-7378
(561) 416-1145
Mailing address
2295 NW CORPORATE BLVD, #245, BOCA RATON, FL 33431-7373
(561) 988-0545
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
OS11480
FL
Other
Enumeration date
07/11/2013
Last updated
07/11/2013
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