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Organization

BOCA RATON ORTHOPEDIC ASSOCIATES PL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARC BERGMAN M.D. (PRESIDENT)
(561) 241-8668
Entity
Organization

Contact information

Practice address
1905 CLINT MOORE RD, SUITE 214, BOCA RATON, FL 33496-2658
(561) 241-8668
(561) 912-9556
Mailing address
1905 CLINT MOORE RD, SUITE 214, BOCA RATON, FL 33496-2658
(561) 241-8668
(561) 912-9556

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
BS38459
BLUE CROSS BLUE SHIELD
FL
Enumeration date
09/25/2006
Last updated
08/04/2008
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