NPI 1114368743
Jerald Vizzone, D.O.
Practice location
- Address
- 1900 Glades Rd #100, Boca Raton, FL 33431-7378
- Phone
- (561) 416-1145
- Mailing address
- 2295 NW Corporate Blvd #245, Boca Raton, FL 33431-7373
Authorised official
- Name
- Jerald Vizzone
- Title
- Physician
- Phone
- (561) 416-1145
Registered specialties
Non-Pharmacy Dispensing Site
Primary
Registry record
- NPI
- 1114368743
- Entity type
- Organization
- NPI issued
- 11 Jul 2013
- Record last updated
- 11 Jul 2013
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.