Healthcare Provider Details

I. General information

NPI: 1912754854
Provider Name (Legal Business Name): SANJONA MEDICAL CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/30/2024
Last Update Date: 10/10/2024
Certification Date: 10/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2828 S SEACREST BLVD STE 104
BOYNTON BEACH FL
33435-7944
US

IV. Provider business mailing address

2828 S SEACREST BLVD STE 104
BOYNTON BEACH FL
33435-7944
US

V. Phone/Fax

Practice location:
  • Phone: 954-663-7087
  • Fax:
Mailing address:
  • Phone: 954-663-7087
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JOSEE SANZ
Title or Position: PRESIDENT
Credential:
Phone: 954-663-7087