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BOCA RATON NEUROLOGIC ASSOCIATES PA NPI 1083676035


NPI Information

NPI: 1083676035
Provider Name: BOCA RATON NEUROLOGIC ASSOCIATES PA
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
1050 NW 15TH ST
SUITE 216-A
BOCA RATON, FL
ZIP 33486
Phone: (561) 338-8484
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BOCA RATON NEUROLOGIC ASSOCIATES PA is a neurology psychiatry neurology in Boca Raton, FL. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. BOCA RATON NEUROLOGIC ASSOCIATES PA NPI is 1083676035. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1050 NW 15TH ST
SUITE 216-A
BOCA RATON, FL
ZIP 33486-375
Phone: (561) 338-8484
Fax: (561) 338-8492

The provider's authorized official is Bruce R Kastin .
The authorized official title is Owner and has the following contact phone number (561) 338-8484.

The enumeration date for this NPI number is 4/5/2006 and was last updated on 6/12/2008.


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
12084N0400XPsychiatry & NeurologyNeurologyME 66113FLORIDAYes

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
1K1546MEDICARE ID-TYPE UNSPECIFIEDFLORIDA

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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