Florida Atlantic University
NPI #1396211421 in Boca Raton, Florida
Provider Information
- NPI Number
- 1396211421
- Entity Type
- Organization
- Organization Name
- Florida Atlantic University
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Oct 16, 2018
- Last Updated
- Mar 24, 2024
Practice Location
- Address
- 880 NW 13TH ST STE 400
- City
- Boca Raton
- State
- Florida
- ZIP Code
- 33486-2342
- Phone
- (561) 297-4814
Authorized Official
- Name
- LOUISA PONTIROLI-KELLY
- Title
- AUTHORIZED OFFICIAL
- Phone
- (561) 297-2897
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
| Internal Medicine |
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