Organization
MDPREVENT MEDICAL GROUP PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN S CHARLAP MD (CHIEF SERVICE OFFICER)
(617) 319-6434
Entity
Organization
Contact information
Practice address
5130 LINTON BLVD, H-1, DELRAY BEACH, FL 33484-6596
(561) 807-2561
(561) 537-8221
Mailing address
5130 LINTON BLVD, H-1, DELRAY BEACH, FL 33484-6596
(561) 807-2561
(561) 537-8221
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
133V00000X
Registered Dietitian
—
—
2083P0901X
Public Health & General Preventive Medicine Physician
ME89947
FL
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
02/07/2011
Last updated
11/28/2011
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