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Organization

BMG OF FLORIDA PA

Active
Other names
Boston Medical Group
Organization subpart
No

Provider details

NPI number
Authorized official
DR. QUOC HA (DIRECTOR)
(615) 562-4048
Entity
Organization

Contact information

Practice address
106 BOSTON AVE STE 204, ALTAMONTE SPRINGS, FL 32701-4712
(615) 562-4048
Mailing address
23275 S POINTE DR STE 100, LAGUNA HILLS, CA 92653-1498
(615) 562-4048

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
208800000X
UROLOGY
FL
Enumeration date
11/05/2019
Last updated
11/05/2019
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