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Organization

WEST BOCA PHYSICIANS GROUP INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. STEPHEN G. HOLTZCLAW M.D. (PRESIDENT)
(800) 424-3672
Entity
Organization

Contact information

Practice address
21644 STATE ROAD 7, BOCA RATON, FL 33428-1842
(561) 883-7029
Mailing address
14050 NW 14TH ST, SUITE 190, SUNRISE, FL 33323-2865
(800) 424-3672

Taxonomy

Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
363A00000X
Physician Assistant

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
98221
BCBS OF FLORIDA
FL
Enumeration date
10/04/2007
Last updated
12/26/2007
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