Organization
SELLY OAK CONSULTING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL HUSTED M.D. (DOCTOR)
(561) 988-1022
Entity
Organization
Contact information
Practice address
1900 GLADES RD STE 100, BOCA RATON, FL 33431-7333
(561) 416-1145
(561) 416-2292
Mailing address
2295 NW CORPORATE BLVD STE 140, BOCA RATON, FL 33431-7323
(561) 988-1022
(561) 988-0426
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME-96130
FL
Other
Enumeration date
08/11/2011
Last updated
08/11/2011
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