Organization
MEDIC PARTNERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEAN RICHARD ETIENNE MD (MEDICAL DIRECTOR)
(561) 738-7611
Entity
Organization
Contact information
Practice address
2848 S SEACREST BLVD, BOYNTON BEACH, FL 33435-7935
(561) 738-7611
(561) 738-7622
Mailing address
2848 S SEACREST BLVD, BOYNTON BEACH, FL 33435-7935
(561) 738-7611
(561) 738-7622
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
08/20/2021
Last updated
11/01/2023
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