MEDICARE: WALK IN FAMILY MEDICINE CENTER OF BOYNTON BEACH, INC,

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	207R00000X	Internal Medicine Physician		FL

General Provider Information

NPI Number	:	1467630038
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WALK IN FAMILY MEDICINE CENTER OF BOYNTON BEACH, INC,

Provider Business Mailing Address
First Line	:	3795 W BOYNTON BEACH BLVD
Second Line	:	SUITE D
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33436-4502
Country	:	US
Telephone Number	:	561-736-2000
Fax Number	:	561-740-0771

Provider Business Practice Location Address
First Line	:	3795 W BOYNTON BEACH BLVD
Second Line	:	SUITE D
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33436-4502
Country	:	US
Telephone Number	:	561-736-2000
Fax Number	:	561-740-0771

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	DR. MARK B FREEMAN
Credential	:	M.D.
Telephone Number	:	561-736-2000

Provider Enumeration Date	:	02/06/2008
Last Update Date	:	07/21/2022

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