Healthcare Provider Details

I. General information

NPI: 1245294552
Provider Name (Legal Business Name): MICHAEL JOHN BOYLE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/13/2006
Last Update Date: 09/08/2025
Certification Date: 09/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5651 NW 29TH ST
MARGATE FL
33063-1531
US

IV. Provider business mailing address

PO BOX 8005
DELRAY BEACH FL
33482-8005
US

V. Phone/Fax

Practice location:
  • Phone: 954-227-2030
  • Fax: 954-227-2010
Mailing address:
  • Phone: 954-227-2030
  • Fax: 945-227-2010

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086X0206X
TaxonomySurgical Oncology Physician
License NumberME0072876
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code2086X0206X
TaxonomySurgical Oncology Physician
License Number023027
License Number StateLA
# 3
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number32899
License Number StateWV
# 4
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberME0072876
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: