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Organization

SA MEDICAL PHYSICIANS OF FL PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KHASHAYAR VOSOUGH MD (MANAGING DIRECTOR)
(973) 826-8287
Entity
Organization

Contact information

Practice address
9325 GLADES RD, SUITE 105, BOCA RATON, FL 33434-3988
(561) 362-4400
Mailing address
145 ROUTE 46 WEST, SUITE 304, WAYNE, NJ 07470-6830
(973) 826-8287
(855) 834-5435

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
FL

Other

Enumeration date
08/28/2012
Last updated
08/28/2012
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