Organization
BOYNTON MEDICAL GROUP INC
Active
Other names
Amicus Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID R RODRIGUEZ (PRESIDENT)
(954) 505-5000
Entity
Organization
Contact information
Practice address
1501 CORPORATE DR, BOYNTON BEACH, FL 33426-6600
(561) 369-4255
(561) 369-3254
Mailing address
14201 W SUNRISE BLVD, SUITE 207, SUNRISE, FL 33323-3207
(954) 505-5000
(954) 838-9660
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME91277
FL
Other
Enumeration date
10/05/2010
Last updated
04/01/2015
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