Organization
FLORIDA ATLANTIC UNIVERSITY
Active
Other names
STUDENT HEALTH CENTER CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
LOUISA PONTIROLI-KELLY (AUTHORIZED OFFICIAL)
(561) 297-2897
Entity
Organization
Contact information
Practice address
777 GLADES RD, BOCA RATON, FL 33431-6424
(561) 297-3512
Mailing address
777 GLADES RD, BOCA RATON, FL 33431-6424
(561) 297-3512
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
3111322
FL
Other
Enumeration date
05/23/2007
Last updated
04/16/2026
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