Boca Grande Health Clinic

NPI #1972683910 in Boca Grande, Florida

Provider Information

NPI Number: 1972683910
Entity Type: Organization
Organization Name: Boca Grande Health Clinic
Primary Specialty: Family Medicine
Enumeration Date: Oct 16, 2006
Last Updated: Jun 30, 2021

Practice Location

Address: 320 PARK AVENUE
City: Boca Grande
State: Florida
ZIP Code: 33921
Phone: (941) 964-2276

Authorized Official

Name: MR. JONNA FOOS
Title: OPERATIONS COORDINATOR
Phone: (941) 964-2276

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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