Organization
CEREBRAL MEDICAL GROUP, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BOGGS MD (PRESIDENT)
(415) 830-5946
Entity
Organization
Contact information
Practice address
1200 S PINE ISLAND RD STE 250, PLANTATION, FL 33324-4459
(415) 830-5946
(415) 651-3458
Mailing address
2093 PHILADELPHIA PIKE # 9898, CLAYMONT, DE 19703-2424
(415) 830-5946
(415) 651-3458
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
11/18/2020
Last updated
12/22/2023
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