Organization
BOCA RATON OPHTHALMOLOGY ASC LLC
Active
Other names
Outpatient Surgery Center of Boca Raton
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY SNODGRASS (PRESIDENT)
(615) 665-1283
Entity
Organization
Contact information
Practice address
950 NW 13TH ST, BOCA RATON, FL 33486-2310
(561) 391-7642
(561) 391-2854
Mailing address
1A BURTON HILLS BLVD # L&C, NASHVILLE, TN 37215-6187
(615) 240-3820
(615) 234-1720
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
1073
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
62650623
HUMANA MILITARY HEALTHCA
FL
Enumeration date
02/06/2006
Last updated
10/31/2022
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