Healthcare Provider Details

I. General information

NPI: 1881796167
Provider Name (Legal Business Name): BIO-MEDICAL APPLICATIONS OF FLORIDA, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/05/2006
Last Update Date: 08/31/2021
Certification Date: 08/31/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3925 W BOYNTON BEACH BLVD STE 110
BOYNTON BEACH FL
33436-4500
US

IV. Provider business mailing address

3925 W BOYNTON BEACH BLVD STE 110
BOYNTON BEACH FL
33436-4500
US

V. Phone/Fax

Practice location:
  • Phone: 561-740-4025
  • Fax: 561-740-4027
Mailing address:
  • Phone: 561-740-4025
  • Fax: 561-740-4027

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QE0700X
TaxonomyEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: BARRY L. BLANTON
Title or Position: VICE PRESIDENT
Credential:
Phone: 781-699-9000