10D0995225 CLIA NUMBER - BOCA OB-GYN LLC

Laboratory Demographics

CLIA Number: 10D0995225

Facility Name: BOCA OB-GYN LLC

Facility Address:
660 GLADES ROAD SUITE 320
BOCA RATON, FL
ZIP 33431
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Facility Phone Number: (561) 488-9719

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1396203485

Taxonomy: 1223P0300X - Dentist
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

CLIA Record

Field Name	Field Value
CLIA Number	10D0995225
LAB Type	PHYSICIAN OFFICE
Facility Name	BOCA OB-GYN LLC
Street	660 GLADES ROAD SUITE 320
City	BOCA RATON
State	FL
ZIP	33431
Phone	(561) 488-9719

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This page was last updated on: 5/11/2023