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ROBERT L BOLTUCH DOPA NPI 1457524704


NPI Information

NPI: 1457524704
Provider Name: ROBERT L BOLTUCH DOPA
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
2695 N MILITARY TRL
SUITE # 17
WEST PALM BEACH, FL
ZIP 33409
Phone: (561) 689-2110
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ROBERT L BOLTUCH DOPA is a family medicine in West Palm Beach, 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. ROBERT L BOLTUCH DOPA NPI is 1457524704. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2695 N MILITARY TRL
SUITE # 17
WEST PALM BEACH, FL
ZIP 33409-974
Phone: (561) 689-2110
Fax: (561) 689-2032

The provider's authorized official is Sintra Boltuch .
The authorized official title is Adminstrator and has the following contact phone number (561) 689-2110.

The enumeration date for this NPI number is 4/8/2008 and was last updated on 4/28/2008.


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 MedicineOS0004902FLORIDAYes

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
1E32307MEDICARE UPINFLORIDA
282872YMEDICARE PINFLORIDA

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: 4/28/2024

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