Organization
NRG CLINIC LLC
Active
Other names
NRG Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
FRED MOLDT (CEO)
(561) 755-7197
Entity
Organization
Contact information
Practice address
200 W PALMETTO PARK RD STE 306, BOCA RATON, FL 33432-3759
(561) 755-7197
Mailing address
200 W PALMETTO PARK RD STE 306, BOCA RATON, FL 33432-3759
(561) 755-7197
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
08/05/2022
Last updated
05/17/2023
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