Organization
SEA OF QI FAMILY MEDICINE
Active
Parent organization
J BROADWELL INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
J BROADWELL INC
Authorized official
JENNIFER BROADWELL AP (PRESIDENT)
(954) 684-7449
Entity
Organization
Contact information
Practice address
5967 MICHAUX ST, BOCA RATON, FL 33433-7201
(954) 684-7449
Mailing address
900 N FEDERAL HWY, SUITE 110, BOCA RATON, FL 33432-2755
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AP3041
FL
Other
Enumeration date
02/08/2016
Last updated
02/08/2016
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