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BOCA FAMILY MEDICAL GROUP CORP NPI 1366730129


NPI Information

NPI: 1366730129
Provider Name: BOCA FAMILY MEDICAL GROUP CORP
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 10D0690920

Address:
7280 W PALMETTO PARK RD
SUITE 104
BOCA RATON, FL
ZIP 33433
Phone: (561) 391-6552
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BOCA FAMILY MEDICAL GROUP CORP is a family medicine in Boca Raton, FL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. BOCA FAMILY MEDICAL GROUP CORP NPI is 1366730129. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

7280 W PALMETTO PARK RD
SUITE 104
BOCA RATON, FL
ZIP 33433-422
Phone: (561) 391-6552
Fax: (561) 391-6285

The provider's authorized official is Mirna Waidele .
The authorized official title is President and has the following contact phone number (561) 391-6552.

The CLIA number assigned to this NPI record is 10D0690920 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/14/2011 and was last updated on 7/14/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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