Active NPI 1992999122 Individual Practitioner Male Practitioner

Dr. Charles Robert Johnson , DO

Internal Medicine • Boca Raton, FL

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Charles Johnson, DO is a certified Internal Medicine practicing in Boca Raton, FL. With approximately 43 years of clinical experience since graduating from Philadelphia College Of Osteopathic Medicine in 1983, Dr. Johnson delivers high-quality medical care to the local community at 1601 CLINT MOORE RD.

Dr. Johnson is affiliated with Johnson Internal Medicine Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, routine ekg using at least 12 leads including interpretation and report, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1601 Clint Moore Rd
155

Boca Raton, FL 334872768

Telephone 5613380700

Fax 5613629960

Associated Practice Facility / Clinic

🏢 Pulmonary & Sleep Associates Of South Florida Pa Facility NPI 1669442570

Medicare Profile & Education

Medical School

Philadelphia College Of Osteopathic Medicine

Graduation Year

1983

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Boca Raton, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

43 Yrs +18.7 yrs vs City Avg

City Avg: 24.3 Yrs

State Avg: 26.5 Yrs

Regional Practice Density

217 Specialists

Practicing in Boca Raton, FL (10650 Statewide)

Telehealth Adoption Rate

26.7% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

21.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Johnson (43 Years) 43 Yrs

Boca Raton Specialty Average (24.3 Years) 24.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	2,074	829	$104.73	$92.46
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,149	625	$139.99	$130.37
93000 Routine ekg using at least 12 leads including interpretation and report	605	558	$80.00	$14.66
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	568	568	$146.30	$131.88
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	295	47	$102.39	$80.25
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	173	173	$30.00	$17.69
81002 Urinalysis, manual test	126	102	$30.00	$3.41
85610 Blood test, clotting time	78	14	$30.00	$4.20
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	75	49	$240.74	$175.96
99238 Hospital discharge day management, 30 minutes or less	74	51	$103.14	$82.21
99496 Transitional care management services for problem of high complexity	57	50	$325.00	$282.67
99495 Transitional care management services for problem of at least moderate complexity	42	39	$230.00	$209.27
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	32	30	$81.76	$54.33
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$139.52	$114.71
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	21	20	$179.17	$178.03
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	21	15	$68.50	$42.20
81007 Urinalysis for bacteria	17	14	$56.00	$29.38
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	13	$73.81	$57.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	2,392	919	$104.73	$93.74
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,039	579	$140.00	$132.53
93000 Routine ekg using at least 12 leads including interpretation and report	652	591	$80.00	$15.15
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	634	634	$146.30	$133.77
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	380	79	$102.39	$82.79
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	179	179	$30.00	$17.69
81002 Urinalysis, manual test	135	116	$30.00	$3.41
85610 Blood test, clotting time	113	20	$30.00	$4.20
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	90	68	$240.74	$181.41
99238 Hospital discharge day management, 30 minutes or less	81	59	$103.14	$84.19
99496 Transitional care management services for problem of high complexity	77	69	$325.00	$285.63
99495 Transitional care management services for problem of at least moderate complexity	50	47	$230.00	$210.72
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	28	27	$81.76	$53.72
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	24	22	$179.17	$179.55
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$139.52	$117.74
81007 Urinalysis for bacteria	20	18	$56.00	$29.38
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	12	$73.81	$58.68
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	11	11	$198.84	$169.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	2,474	978	$104.74	$94.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,160	618	$140.01	$132.10
93000 Routine ekg using at least 12 leads including interpretation and report	610	562	$53.81	$15.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	529	529	$146.30	$134.22
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	356	78	$102.39	$73.52
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	190	190	$30.00	$17.86
85610 Blood test, clotting time	162	24	$30.00	$4.24
99238 Hospital discharge day management, 30 minutes or less	100	70	$103.14	$73.86
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	93	72	$240.74	$204.68
81002 Urinalysis, manual test	66	61	$30.00	$3.44
99495 Transitional care management services for problem of at least moderate complexity	56	50	$230.00	$212.75
99496 Transitional care management services for problem of high complexity	51	48	$325.00	$286.04
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	45	45	$200.06	$174.86
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	45	45	$139.52	$117.85
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	39	34	$81.76	$54.73
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	32	30	$179.17	$177.63
81007 Urinalysis for bacteria	26	24	$56.00	$29.54
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	18	$73.81	$59.24
99220 Hospital observation care, typically 70 minutes	14	14	$222.42	$183.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	2,509	942	$104.73	$93.60
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	987	564	$140.00	$132.72
93000 Routine ekg using at least 12 leads including interpretation and report	654	603	$43.94	$15.61
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	523	523	$146.30	$137.60
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	377	107	$102.39	$74.90
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	219	219	$30.00	$18.05
85610 Blood test, clotting time	174	24	$30.00	$4.29
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	110	91	$240.74	$208.74
99238 Hospital discharge day management, 30 minutes or less	99	83	$103.14	$74.95
99496 Transitional care management services for problem of high complexity	85	72	$320.27	$278.84
99495 Transitional care management services for problem of at least moderate complexity	70	65	$230.00	$200.60
81007 Urinalysis for bacteria	59	54	$56.00	$29.98
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	52	47	$179.17	$177.73
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	46	42	$81.76	$54.92
81002 Urinalysis, manual test	44	42	$30.00	$3.48
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	42	42	$139.52	$118.31
0013A Adm sarscov2 100mcg/0.5ml3rd	34	34	$40.00	$40.00
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$200.06	$175.70
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	27	23	$73.81	$57.65
99220 Hospital observation care, typically 70 minutes	18	18	$222.42	$189.34
36415 Insertion of needle into vein for collection of blood sample	17	17	$18.24	$3.00
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report	15	15	$43.94	$15.61
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	15	12	$68.50	$42.75
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	14	14	$198.84	$170.63
0011A Adm sarscov2 100mcg/0.5ml1st	12	12	$40.00	$40.00
0012A Adm sarscov2 100mcg/0.5ml2nd	12	12	$40.00	$40.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	2,624	946	$114.21	$78.39
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	842	495	$139.14	$113.46
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	713	160	$97.79	$76.04
93000 Routine ekg using at least 12 leads including interpretation and report	495	453	$56.96	$17.93
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	352	352	$147.48	$119.66
99238 Hospital discharge day management, 30 minutes or less	182	130	$98.12	$76.76
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	173	140	$232.18	$213.61
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	170	170	$30.00	$17.94
85610 Blood test, clotting time	99	27	$24.44	$4.27
99496 Transitional care management services for problem of high complexity	76	68	$271.26	$252.27
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	74	66	$77.91	$47.43
99495 Transitional care management services for problem of at least moderate complexity	53	51	$211.13	$188.63
81002 Urinalysis, manual test	45	41	$30.00	$3.46
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	35	32	$75.54	$55.57
99220 Hospital observation care, typically 70 minutes	23	22	$212.85	$195.46
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	18	15	$178.24	$152.80
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$157.35	$112.95
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$200.03	$173.35
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	12	12	$199.52	$171.15
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report	12	12	$32.89	$17.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	2,818	976	$125.02	$76.88
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,165	644	$140.00	$112.45
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	716	171	$90.00	$76.04
93000 Routine ekg using at least 12 leads including interpretation and report	678	612	$80.00	$17.80
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	467	467	$150.11	$119.93
85610 Blood test, clotting time	242	34	$12.36	$4.28
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	205	205	$30.00	$17.69
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	196	146	$220.00	$211.55
99238 Hospital discharge day management, 30 minutes or less	174	135	$90.00	$76.17
36415 Insertion of needle into vein for collection of blood sample	148	122	$20.00	$2.94
81002 Urinalysis, manual test	147	117	$30.00	$3.41
99496 Transitional care management services for problem of high complexity	83	73	$250.00	$239.18
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	58	58	$175.00	$113.40
99495 Transitional care management services for problem of at least moderate complexity	54	50	$185.00	$169.19
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	35	31	$60.00	$55.14
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	26	26	$175.00	$151.06
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	26	16	$80.00	$46.69
99220 Hospital observation care, typically 70 minutes	25	24	$200.00	$194.12
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report	25	25	$25.00	$17.85
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	25	25	$197.60	$169.50
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	16	13	$50.00	$42.43
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$200.00	$171.80
82270 Stool analysis for blood to screen for colon tumors	15	15	$6.00	$4.29
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	15	15	$200.00	$177.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	3,063	1,021	$124.99	$75.47
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,195	670	$140.01	$111.25
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	779	193	$90.00	$76.04
93000 Routine ekg using at least 12 leads including interpretation and report	641	588	$80.00	$17.72
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	428	428	$150.00	$120.31
85610 Blood test, clotting time	298	45	$21.95	$4.75
81002 Urinalysis, manual test	208	160	$30.00	$3.41
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	197	153	$220.00	$212.21
36415 Insertion of needle into vein for collection of blood sample	179	150	$20.00	$2.94
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	177	177	$30.00	$19.25
99238 Hospital discharge day management, 30 minutes or less	135	110	$90.00	$76.16
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	54	46	$60.00	$55.62
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	39	39	$175.00	$112.98
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	31	22	$80.00	$45.43
99231 Follow-up hospital inpatient care per day, typically 15 minutes	29	20	$50.00	$41.14
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report	27	27	$25.00	$17.81
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	25	25	$200.00	$170.95
99220 Hospital observation care, typically 70 minutes	24	24	$200.00	$194.36
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	21	21	$175.00	$150.38
99496 Transitional care management services for problem of high complexity	21	21	$250.00	$239.79
82270 Stool analysis for blood to screen for colon tumors	19	19	$6.00	$4.29
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	17	14	$50.00	$42.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	3,374	1,082	$125.00	$75.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	865	554	$140.00	$110.82
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	767	190	$90.00	$74.87
93000 Routine ekg using at least 12 leads including interpretation and report	587	539	$80.00	$17.72
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	353	353	$128.50	$118.07
85610 Blood test, clotting time	304	46	$27.18	$5.28
81002 Urinalysis, manual test	169	136	$28.58	$3.43
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	160	160	$30.00	$21.38
36415 Insertion of needle into vein for collection of blood sample	148	127	$18.78	$2.92
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	138	104	$220.00	$211.28
99238 Hospital discharge day management, 30 minutes or less	108	89	$90.00	$75.05
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	77	56	$80.00	$45.11
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	50	45	$60.00	$55.63
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	41	41	$175.00	$113.09
99220 Hospital observation care, typically 70 minutes	33	32	$200.00	$192.88
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	33	31	$175.00	$149.62
82270 Stool analysis for blood to screen for colon tumors	29	29	$6.00	$4.37
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	28	17	$50.00	$42.65
99231 Follow-up hospital inpatient care per day, typically 15 minutes	25	16	$50.00	$41.03
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	15	15	$192.00	$168.50
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report	15	15	$25.00	$17.78

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License FL OS0004672

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Hospital & Practice Group Affiliations

Johnson Internal Medicine Inc

1601 Clint Moore Rd, Boca Raton, FL 334875715

Phone: 5613380700

Johnson Internal Medicine Inc

800 Meadows Rd, Boca Raton, FL 334862304

Phone: 5619554200

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners

Gabriel Johnson , PA

Physician Assistant

NPI 1124578331

Physician Assistant

Maureen Leogrande , ARNP-BC

Nurse Practitioner - Family

NPI 1366680241

ARNPBC

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active August 30, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location August 30, 2007

Registered at 1601 CLINT MOORE RD, 155, BOCA RATON, FL 334872768 (Tel: 5613380700)

📍

Updated Business Mailing Address August 30, 2007

Registered at 1601 CLINT MOORE RD, SUITE NUMBER 155, BOCA RATON, FL 334872768 (Tel: 5613380700)

👤

Provider Name / Credentials Updated August 30, 2007

Recorded as CHARLES JOHNSON, D.O.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 30, 2007

Internal Medicine (License #OS0004672 in FL)

🟢

Initial NPI Registration & Enumeration August 30, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1992999122

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 30, 2007

Last Update: August 30, 2007

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

1601 Clint Moore Rd, Suite Number 155

Boca Raton, FL 334872768

Phone: 5613380700

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.