Organization
BOCA/DELRAY RENAL ASSOCIATES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANCES L KRAUSE (OFFICE MANAGER)
(561) 988-7100
Entity
Organization
Contact information
Practice address
1905 CLINT MOORE RD, SUITE 306, BOCA RATON, FL 33496-2658
(561) 988-7100
(561) 988-6120
Mailing address
1905 CLINT MOORE RD, SUITE 306, BOCA RATON, FL 33496-2658
(561) 988-7100
(561) 988-6120
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
212210300
—
FL
01
—
V7V
BCBS
FL
Enumeration date
01/12/2006
Last updated
04/01/2009
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