Healthcare Provider Details
I. General information
NPI: 1033020581
Provider Name (Legal Business Name): BOCA DIRECT MD
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1489 W PALMETTO PARK RD STE 410
BOCA RATON FL
33486-3325
US
IV. Provider business mailing address
1489 W PALMETTO PARK RD STE 410
BOCA RATON FL
33486-3325
US
V. Phone/Fax
- Phone: 561-300-0156
- Fax: 561-323-6150
- Phone: 561-300-0156
- Fax: 561-323-6150
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
GRAIG
ALPERT
Title or Position: MANAGER
Credential: MD
Phone: 561-300-0156