Healthcare Provider Details

I. General information

NPI: 1760342547
Provider Name (Legal Business Name): PROCARE MEDICAL SPECIALIST PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/14/2025
Last Update Date: 11/14/2025
Certification Date: 11/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

64 S FEDERAL HWY
BOCA RATON FL
33432-4805
US

IV. Provider business mailing address

64 S FEDERAL HWY
BOCA RATON FL
33432-4805
US

V. Phone/Fax

Practice location:
  • Phone: 561-210-0437
  • Fax:
Mailing address:
  • Phone: 561-210-0437
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: JONATHAN HINDS
Title or Position: OWNER
Credential: MD
Phone: 561-210-0437