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Boxton Cares, INC.

Clinic/Center in Tallahassee, FL. Organization (NPI-2).

NPI number1467080036
StatusActive
Last updated in NPPESMar 30, 2020

Details

NPI
1467080036
Entity type
Organization (NPI-2)
Legal business name
Boxton Cares, INC.
Organization subpart
No
Enumeration date
Mar 30, 2020
Certification date
Mar 30, 2020
Last updated
Mar 30, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Center––Yes

Practice location

2121 W Pensacola St
Tallahassee, FL 32304-3149

Phone 850-528-1741

Mailing address

39 Walker Creek Dr
Crawfordville, FL 32327-4743

Phone 850-528-1741

Authorized official

Randall Eugene Box
Owner
8505281741

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