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Organization

BODY DETAILS MANAGEMENT, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID SHARAF MD (MEDICAL DIRECTOR)
(954) 712-8861
Entity
Organization

Contact information

Practice address
801 N FEDERAL HWY, BOCA RATON, FL 33432-2737
(561) 727-1025
Mailing address
801 N FEDERAL HWY, BOCA RATON, FL 33432-2737
(561) 727-1025

Taxonomy

Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary

Other

Enumeration date
01/22/2016
Last updated
01/22/2016
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