Obsidian Healthcare Llc
Internal Medicine Physician in Boynton Beach, FL(View on Map)
Legal Business Name
Obsidian Healthcare Llc
NPI Number
1447958699
NPI Type
Organization
Enumeration Date
02/17/2023
Specialties
(Taxonomies)Contact
Information
Purpose
Mailing
Location
Address
3379 W WOOLBRIGHT RD
3379 W WOOLBRIGHT RD
City
Boynton Beach
Boynton Beach
State
FL
FL
Postal Code
33436-7245
33436-7245
Country
US
US
Telephone Number
(561) 449-0066
(561) 449-0066
Authorized Official
Name
Mr. Jude Acloque
Title or Position
AUTHORIZED OFFICIAL
Telephone Number
(561) 443-0066
Identifiers
Identifier
ME133297
Identifier State
FL
Identifier Issuer
LICENSE
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 02/17/2023
Provider Address
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