Florida Atlantic University

NPI #1134510688 in Boca Raton, Florida

Provider Information

NPI Number: 1134510688
Entity Type: Organization
Organization Name: Florida Atlantic University
Primary Specialty: Orthopaedic Surgery
Enumeration Date: Feb 5, 2015
Last Updated: Feb 5, 2015

Practice Location

Address: 777 GLADES RD
Address 2: DEPARTMENT OF ATLHLETICS
City: Boca Raton
State: Florida
ZIP Code: 33431-6424
Phone: (800) 555-9073

Authorized Official

Name: MOUZON BASS III
Title: AGENT
Phone: (800) 555-9073

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
Orthopaedic Surgery	207X00000X	Primary

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