Organization
DERUN CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. XIN TONG AP (OWNER)
(561) 609-9555
Entity
Organization
Contact information
Practice address
144 S FEDERAL HWY, BOCA RATON, FL 33432-4920
(561) 609-9555
Mailing address
144 S FEDERAL HWY, BOCA RATON, FL 33432-4920
(561) 609-9555
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
AP3262
FL
305S00000X
Point of Service
AP3566
FL
305S00000X
Point of Service
AP3743
FL
Other
Enumeration date
09/30/2016
Last updated
04/10/2017
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