Organization
GENTERA MED BOCA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SASHA CONNOLLY (DIRECTOR OF BUSINESS DEVELOPMENT)
(617) 568-0475
Entity
Organization
Contact information
Practice address
7815 NW BEACON SQUARE BLVD STE 101, BOCA RATON, FL 33487-1345
(561) 475-3877
(561) 334-2956
Mailing address
7815 NW BEACON SQUARE BLVD STE 101, BOCA RATON, FL 33487-1345
(561) 475-3877
(561) 334-2956
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
09/02/2020
Last updated
11/10/2020
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