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NPI Code Detail

MEDICARE: SF BOYNTON LLC

MEDICARE: SF BOYNTON 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
1314000000XSkilled Nursing Facility

General Provider Information

NPI Number : 1922267756
Entity Type Code : Organization
Provider Name (Legal Business Name) : SF BOYNTON LLC
Provider Business Mailing Address
First Line : 40 PALAFOX PL
Second Line : SUITE 400
City : PENSACOLA
State : FL
Zip : 32502-5697
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7900 VENTURE CENTER WAY
Second Line :
City : BOYNTON BEACH
State : FL
Zip : 33437-7402
Country : US
Telephone Number : 561-736-7676
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : JAMES RICHARDSON
Credential :
Telephone Number : 850-430-0000
Provider Enumeration Date : 06/06/2008
Last Update Date : 06/18/2019

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Directions to “SF BOYNTON LLC ” Practice Location

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