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INTERMED OF BOCA RATON INC NPI 1407212327


NPI Information

NPI: 1407212327
Provider Name: INTERMED OF BOCA RATON, INC
Classification: Allergy & Immunology - 207K00000X
Entity Type: Organization

CLIA Number: 10D2234227

Address:
950 GLADES RD STE 4D
BOCA RATON, FL
ZIP 33431
Phone: (561) 391-8086
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INTERMED OF BOCA RATON, INC is an allergy immunology in Boca Raton, FL. The provider is an allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. INTERMED OF BOCA RATON, INC NPI is 1407212327. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

950 GLADES RD STE 4D
BOCA RATON, FL
ZIP 33431-401
Phone: (561) 391-8086
Fax: (954) 354-8151

The provider's authorized official is Chantal Bray .
The authorized official title is Ceo and has the following contact phone number (954) 254-7968.

The CLIA number assigned to this NPI record is 10D2234227 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/7/2016 and was last updated on 7/12/2021.


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
1207K00000XAllergy & ImmunologyYes
2207Q00000XFamily MedicineNo
3207R00000XInternal MedicineNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
174563OTHERFLORIDAMEDICARE

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.