Provider Demographics
NPI:1588910228
Name:BOYNTON PHYSICIANS GROUP LLC
Entity type:Organization
Organization Name:BOYNTON PHYSICIANS GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FRANCISCO
Authorized Official - Middle Name:
Authorized Official - Last Name:PEREZ-MESA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-734-4535
Mailing Address - Street 1:244 N CONGRESS AVE STE 2A
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33426-4212
Mailing Address - Country:US
Mailing Address - Phone:561-734-4535
Mailing Address - Fax:855-801-9757
Practice Address - Street 1:244 N CONGRESS AVE STE 2A
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33426-4212
Practice Address - Country:US
Practice Address - Phone:561-734-4535
Practice Address - Fax:855-801-9757
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-31
Last Update Date:2021-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty