SOUTH PALM BEACH SURGICAL ASSOCIATES, PL
Radiology at Clint Moore Rd, Boca Raton, FL

License number
Florida ME35997
Category
Radiology
Type
Surgery
Owner
Name: DR. JONATHAN WIDEROFF M.D.
Title: OWNER
Phone: (561) 939-0455
Address
Address
1601 Clint Moore Rd SUITE 145, Boca Raton, FL 33487
National Provider ID: 1750662912
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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South Palm Beach Surgical Associates P.L

1601 Clint Moore Rd, Boca Raton, FL 33487

Industry:
Surgeons, Pain Management, Vascular Surgery
Doing business as:
South Palm Beach Surgical
Registration:
Aug 8, 2011
Phone:
(561) 939-0455 (Phone)
State ID:
L11000090954
Business type:
Florida Limited Liability
Manager:
Jonathan Wideroff (Manager)
Agent:
Corporate Creations Network,Inc

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