MEDICARE: BOCA PHYSICIANS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician
2	207RG0100X	Gastroenterology Physician

General Provider Information

NPI Number	:	1396725370
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BOCA PHYSICIANS

Provider Business Mailing Address
First Line	:	1905 CLINT MOORE RD
Second Line	:	SUITE 201
City	:	BOCA RATON
State	:	FL
Zip	:	33496-2658
Country	:	US
Telephone Number	:	561-994-5454
Fax Number	:	561-994-8873

Provider Business Practice Location Address
First Line	:	1905 CLINT MOORE RD
Second Line	:	SUITE 201
City	:	BOCA RATON
State	:	FL
Zip	:	33496-2658
Country	:	US
Telephone Number	:	561-994-5454
Fax Number	:	561-994-8873

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	MRS. CAROLE ELIAS
Credential	:
Telephone Number	:	561-994-5454

Provider Enumeration Date	:	01/18/2006
Last Update Date	:	09/11/2025

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Directions to “BOCA PHYSICIANS ” Practice Location

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