Organization
SURAMED HEALTH CENTER, PA
Active
Other names
SURAMED HEALTH CENTER PA BOCA RATON
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALFONSO J HENRIQUEZ MD (PEDIATRICIAN)
(561) 338-9615
Entity
Organization
Contact information
Practice address
801 MEADOWS RD STE 116-118, BOCA RATON, FL 33486-2346
(561) 338-9615
(561) 338-9616
Mailing address
801 MEADOWS RD STE 118, BOCA RATON, FL 33486-2346
(561) 338-9615
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009406904
—
FL
Enumeration date
12/10/2020
Last updated
12/23/2024
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