Healthcare Provider Details

I. General information

NPI: 1457263972
Provider Name (Legal Business Name): MEDICAL SPECIALISTS OF FLORIDA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1515 S FEDERAL HWY STE 406
BOCA RATON FL
33432-7449
US

IV. Provider business mailing address

1515 S FEDERAL HWY STE 406
BOCA RATON FL
33432-7449
US

V. Phone/Fax

Practice location:
  • Phone: 888-764-3813
  • Fax: 888-764-3813
Mailing address:
  • Phone: 888-764-3813
  • Fax: 888-764-3813

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name: DR. JORGE RIVERA
Title or Position: DIRECTOR
Credential: MD
Phone: 888-764-3813