Organization
SEA GRAPE MEDICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARLENE SPERTUS MD (OWNER)
(954) 551-4072
Entity
Organization
Contact information
Practice address
101 SE MIZNER BLVD, BOCA RATON, FL 33432-5007
(561) 391-8343
Mailing address
101 SE MIZNER BLVD, BOCA RATON, FL 33432-5007
(561) 391-8343
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
ME54025
FL
Other
Enumeration date
10/11/2012
Last updated
10/11/2012
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