Organization
VARTGEZ MANSOURIAN MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VARTGEZ KENARAKY MANSOURIAN M.D. (OWNER)
(561) 750-7110
Entity
Organization
Contact information
Practice address
951 NW 13TH ST, SUITE 2B, BOCA RATON, FL 33486-2359
(561) 750-7110
(561) 750-7151
Mailing address
951 NW 13TH ST, SUITE 2B, BOCA RATON, FL 33486-2359
(561) 750-7110
(561) 750-7151
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
12/06/2006
Last updated
10/13/2011
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