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FLORIDA ATLANTIC UNIVERSITY NPI 1396211421


NPI Information

NPI: 1396211421
Provider Name: FLORIDA ATLANTIC UNIVERSITY

Doing Business As: COLLEGE OF MEDICINE CLINIC

Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 10D2171150

Address:
880 NW 13TH ST STE 400
BOCA RATON, FL
ZIP 33486
Phone: (561) 297-4814
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FLORIDA ATLANTIC UNIVERSITY is an internal medicine in Boca Raton, FL. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. FLORIDA ATLANTIC UNIVERSITY NPI is 1396211421. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As College Of Medicine Clinic.

The provider's business location address is:

880 NW 13TH ST STE 400
BOCA RATON, FL
ZIP 33486-342
Phone: (561) 297-4814

The provider's authorized official is Gregory Dubois .
The authorized official title is AUTHORIZED OFFICIALOfficial and has the following contact phone number (561) 297-4814.

The CLIA number assigned to this NPI record is 10D2171150 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/16/2018 and was last updated on 2/5/2022.


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 MedicineNo
2207R00000XInternal MedicineYes

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.