Healthcare Provider Details

I. General information

NPI: 1548545874
Provider Name (Legal Business Name): MEDPSYCH CONSULTANTS, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/18/2011
Last Update Date: 05/15/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7777 GLADES RD SUITE 100
BOCA RATON FL
33434-4194
US

IV. Provider business mailing address

7777 GLADES RD SUITE 100
BOCA RATON FL
33434-4194
US

V. Phone/Fax

Practice location:
  • Phone: 561-573-3495
  • Fax: 888-910-3040
Mailing address:
  • Phone: 561-573-3495
  • Fax: 888-910-3040

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberOS9500
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberME73286
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberME0012185
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number StateFL

VIII. Authorized Official

Name: MR. ADAM T AROYO
Title or Position: OWNER
Credential: ARNP
Phone: 561-573-3495