Glutality Provider Group, P.a.
NPI #1083256168 in Boca Raton, Florida
Provider Information
- NPI Number
- 1083256168
- Entity Type
- Organization
- Organization Name
- Glutality Provider Group, P.a.
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Oct 10, 2019
- Last Updated
- Jan 14, 2025
Practice Location
- Address
- 5300 BROKEN SOUND BLVD NW STE 200
- City
- Boca Raton
- State
- Florida
- ZIP Code
- 33487-3514
- Phone
- (561) 678-2026
Authorized Official
- Name
- JOHN M SORTINO
- Title
- OWNER
- Phone
- (561) 596-7517
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
| Internal Medicine |
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