Healthcare Provider Details
I. General information
NPI: 1861307407
Provider Name (Legal Business Name): EMERGENT PHYSICIANS OF WEST BOCA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/18/2026
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
10125 GLADES RD
BOCA RATON FL
33498-6739
US
IV. Provider business mailing address
6200 SUNSET DR STE 302
SOUTH MIAMI FL
33143-4829
US
V. Phone/Fax
- Phone: 561-765-3650
- Fax:
- Phone: 786-888-8820
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207P00000X |
| Taxonomy | Emergency Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
DAVID
NATEMAN
Title or Position: CEO
Credential: NATEMAN
Phone: 786-888-8820