Healthcare Provider Details

I. General information

NPI: 1457784084
Provider Name (Legal Business Name): MEDICAL CLINICS P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2013
Last Update Date: 08/19/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

499 BOYNTON BAY CIR
BOYNTON BEACH FL
33435-2578
US

IV. Provider business mailing address

1111 HYPOLUXO RD SUITE 107
LANTANA FL
33462-4271
US

V. Phone/Fax

Practice location:
  • Phone: 561-586-3400
  • Fax: 561-585-0079
Mailing address:
  • Phone: 561-586-3400
  • Fax: 561-585-0079

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. STEPHEN LOUIS NEMEROFSKY
Title or Position: PRESIDENT
Credential: M.D.
Phone: 561-586-3400