Organization
PHYSICIANS SURGICAL GROUP OF BOCA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN VIA (CEO)
(561) 368-7118
Entity
Organization
Contact information
Practice address
40 SE 5TH ST, SUITE 406, BOCA RATON, FL 33432-6003
(561) 368-7118
(561) 368-7116
Mailing address
40 SE 5TH ST, SUITE 406, BOCA RATON, FL 33432-6003
(561) 368-7118
(561) 368-7116
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
03/16/2009
Last updated
03/16/2009
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