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Individual

DR. JOHN CROWLEY MOTTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
670 GLADES RD STE 100, BOCA RATON, FL 33431-6462
(561) 955-2690
(561) 955-2690
Mailing address
1001 NW 13TH ST STE 201, BOCA RATON, FL 33486-2269
(561) 955-6663
(561) 955-2879

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
ME61608
FL
2086S0129X
Vascular Surgery Physician
Primary
ME61608
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
373658000
FL
Enumeration date
10/11/2005
Last updated
05/27/2022
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