Healthcare Provider Details

I. General information

NPI: 1629050737
Provider Name (Legal Business Name): ADRIAN DELBOCA, MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/15/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8940 N KENDALL DR # 804 EAST TOWER
MIAMI FL
33176-2148
US

IV. Provider business mailing address

8940 N KENDALL DR # 804 EAST TOWER
MIAMI FL
33176-2148
US

V. Phone/Fax

Practice location:
  • Phone: 305-270-2331
  • Fax: 305-270-9729
Mailing address:
  • Phone: 305-270-2331
  • Fax: 305-270-9729

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ADRIAN DEL BOCA
Title or Position: PRESIDENT
Credential: M.D.
Phone: 305-270-2331