Provider Demographics
NPI:1265235352
Name:ASSOCIATED FAMILY PHYSICIANS OF BOCA RATON, P.L.
Entity type:Organization
Organization Name:ASSOCIATED FAMILY PHYSICIANS OF BOCA RATON, P.L.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:GLENDA
Authorized Official - Middle Name:
Authorized Official - Last Name:GONZALEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:941-202-3888
Mailing Address - Street 1:5266 OFFICE PARK BLVD STE 205
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34203-3442
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5266 OFFICE PARK BLVD STE 205
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34203-3442
Practice Address - Country:US
Practice Address - Phone:941-202-3888
Practice Address - Fax:941-236-5640
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ASSOCIATED FAMILY PHYSICIANS OF BOCA RATON, P.L.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-04-01
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty