BICOL MD PA
Managed Care Organizations at 13 St, Boca Raton, FL

License number
Florida ME79854
Category
Managed Care Organizations
Type
Exclusive Provider Organization
Owner
Name: MITCHELL SCHUSTER M.D.
Title: MEDICAL DOCTOR
Phone: (561) 368-5558
Address
Address
951 NW 13Th St STE 3E, Boca Raton, FL 33486
National Provider ID: 1659762235
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about BICOL MD PA at bizstanding.com

BICOL M.D., PA

951 NW 13 St SUITE 3E, Boca Raton, FL 33486

Registration:
Oct 1, 2014
State ID:
P14000081070
Business type:
Florida Profit Corporation
Directors:
Md Schuster, 951 NW 13 St SUITE 3E, Boca Raton, FL 33486 (Physical),Mitchell Schuster (Director)
Agent:
Schuster, Mitchell A, Md,951 NW 13 St SUITE 3E, Boca Raton, FL 33486 (Physical)
EIN:
47-1988534

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