Organization
PSG OF NAPLES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN VIA (MGRM)
(561) 368-7118
Entity
Organization
Contact information
Practice address
40 SE 5TH ST STE 406, BOCA RATON, FL 33432-6003
(561) 368-7118
(561) 368-7116
Mailing address
40 SE 5TH ST STE 406, BOCA RATON, FL 33432-6003
(561) 368-7118
(561) 368-7116
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
OS007183
FL
Other
Enumeration date
06/15/2010
Last updated
06/15/2010
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