Provider Type Icon

BOCA DEL MAR PEDIATRIC AND ADOLESCENT CENTER NPI 1861765828


NPI Information

NPI: 1861765828
Provider Name: BOCA DEL MAR PEDIATRIC AND ADOLESCENT CENTER
Classification: Pediatrics - 2080A0000X
Entity Type: Organization

Specialization: Adolescent Medicine

CLIA Number: 10D0856083

Address:
6877 SW 18TH ST
SUITE H-147
BOCA RATON, FL
ZIP 33433
Phone: (561) 347-8382
Get Directions

BOCA DEL MAR PEDIATRIC AND ADOLESCENT CENTER is an adolescent medicine pediatrics in Boca Raton, FL. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. BOCA DEL MAR PEDIATRIC AND ADOLESCENT CENTER NPI is 1861765828. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6877 SW 18TH ST
SUITE H-147
BOCA RATON, FL
ZIP 33433-078
Phone: (561) 347-8382

The provider's authorized official is Yosef Aaron Kaweblum .
The authorized official title is President and has the following contact phone number (561) 347-8382.

The CLIA number assigned to this NPI record is 10D0856083 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/21/2012 and was last updated on 11/15/2016.


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
12080A0000XPediatricsAdolescent 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.