MEDICARE: REAL TIME PHYSICIANS, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208D00000X	General Practice Physician

General Provider Information

NPI Number	:	1225530553
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REAL TIME PHYSICIANS, LLC

Provider Business Mailing Address
First Line	:	701 PARK OF COMMERCE BLVD STE 301
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33487-3604
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3855 W DIABLO DR STE 2
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89118-2343
Country	:	US
Telephone Number	:	702-329-4514
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	STEVEN GOLDBERG
Credential	:
Telephone Number	:	702-329-4514

Provider Enumeration Date	:	03/02/2018
Last Update Date	:	03/02/2018

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