Organization

Seacrest Medical Group Pa

May also be knows as Seacrest Medical Office Diagnostic

Internal Medicine Physician in Boynton Beach, FL(View on Map)

Legal Business Name

Seacrest Medical Group Pa

Also Known As

Seacrest Medical Office Diagnostic

NPI Number

1700088911

NPI Type

Organization

Enumeration Date

06/01/2007

Specialties

(Taxonomies)

Code

207R00000X

Primary Taxonomy

Yes

Licenses

State

Florida

License Number

ME94948

Contact
Information

Purpose

Mailing
Location

Address

2848 S SEACREST BLVD
2848 S SEACREST BLVD

City

Boynton Beach
Boynton Beach

State

FL
FL

Postal Code

33435-7935
33435-7935

Country

US
US

Telephone Number

(561) 738-7611
(561) 738-7611

Authorized Official

Name

Jean Etienne

Title or Position

PHYSICIAN

Telephone Number

(561) 738-7611

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 10/14/2020

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