Organization
EIRNY MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVA K DANIELSON (CEO)
(561) 206-0812
Entity
Organization
Contact information
Practice address
6844 BRIDLEWOOD CT, BOCA RATON, FL 33433-3566
(561) 206-0812
Mailing address
6844 BRIDLEWOOD CT, BOCA RATON, FL 33433-3566
(561) 206-0812
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
363AM0700X
Medical Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
01/10/2013
Last updated
04/03/2013
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