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BOCA PEDIATRIC GROUP NPI 1154402097


NPI Information

NPI: 1154402097
Provider Name: BOCA PEDIATRIC GROUP
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 10D0289050

Address:
5458 TOWN CENTER RD STE 20
BOCA RATON, FL
ZIP 33486
Phone: (561) 391-6210
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BOCA PEDIATRIC GROUP is a pediatrics in Boca Raton, FL. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. BOCA PEDIATRIC GROUP NPI is 1154402097. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5458 TOWN CENTER RD STE 20
BOCA RATON, FL
ZIP 33486-009
Phone: (561) 391-6210
Fax: (561) 391-2810

The provider's authorized official is Alberto Luchtan .
The authorized official title is Owner and has the following contact phone number (561) 368-4635.

The CLIA number assigned to this NPI record is 10D0289050 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/18/2006 and was last updated on 8/22/2020.


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
1208000000XPediatricsYes

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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