Organization
PBI MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN DELUCA M.D. (MGMR)
(561) 692-9897
Entity
Organization
Contact information
Practice address
1022 JEFFERY ST, BOCA RATON, FL 33487-4183
(561) 692-9897
Mailing address
1022 JEFFERY ST, BOCA RATON, FL 33487-4183
(561) 692-9897
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
ME102199
FL
Other
Enumeration date
08/03/2012
Last updated
08/03/2012
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