GENERAL MEDICINE AND URGENT CARE CLINIC
Ambulatory Health at Congress Ave, Lake Worth, FL

License number
Florida OS10474
Category
Ambulatory Health
Type
Clinic/Center
Owner
Name: DR. M. RAHAT FADERANI D,O,, M.P.H.
Title: OWNER/PRESIDENT
Phone: (561) 965-4300
Address
Address
5913 S Congress Ave, Lake Worth, FL 33462
National Provider ID: 1972824613
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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General Medicine and Urgent Care Clinic

Boynton Beach, FL  -  Lake Worth, FL

Status:
Inactive
Industry:
Health/Allied Services
Doing business as:
General Medicine and Urgent Care Clinic, PA
Registration:
Feb 25, 2010
Addresses:
PO Box 742121, Boynton Beach, FL 33474
Boynton Beach, FL 33474
5913 S Congress Ave, Lake Worth, FL 33462
State ID:
P10000017341
Business type:
Domestic for Profit Corporation
Principal, President:
Rahat Faderani Principal, President, inactive

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