MIRNA WAIDELE PA C INC NPI 1760704134

NPI Information

NPI: 1760704134
Provider Name: MIRNA WAIDELE PA C INC

Doing Business As: BOCA FAMILY PRACTICE

Classification: Physician Assistant - 363AM0700X
Entity Type: Organization

Specialization: Medical

Address:
7280 W PALMETTO PARK RD
SUITE 104
BOCA RATON, FL
ZIP 33433
Phone: (561) 391-6552
Get Directions

MIRNA WAIDELE PA C INC is a medical physician assistant in Boca Raton, FL. MIRNA WAIDELE PA C INC NPI is 1760704134. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Boca Family Practice.

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 enumeration date for this NPI number is 2/25/2010 and was last updated on 2/25/2010.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical			Yes

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

NPI Synchronization or Removal

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.

« Previous NPI

Next NPI »