Individual
MR. JEFFREY LYNN BASTOKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
800 MEADOWS RD, BOCA RATON, FL 33486-2304
(561) 955-4425
Mailing address
800 MEADOWS RD, BOCA RATON, FL 33486-2304
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA 2748
FL
Other
Enumeration date
03/04/2011
Last updated
03/04/2011
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