Organization
COMMUNITY FLU SHOT PROVIDERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JEAN M RYAN (MEMBER)
(407) 744-1780
Entity
Organization
Contact information
Practice address
112 S FEDERAL HWY, SUITE #4, BOYNTON BEACH, FL 33435-4939
(407) 744-1780
Mailing address
112 S FEDERAL HWY, SUITE #4, BOYNTON BEACH, FL 33435-4939
(407) 744-1780
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
05/15/2008
Last updated
05/15/2008
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