MEDICARE: BOCACARE INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QU0200X	Urgent Care Clinic/Center

General Provider Information

NPI Number	:	1407342892
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BOCACARE INC

Provider Business Mailing Address
First Line	:	10 E PALMETTO PARK RD
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33432-4864
Country	:	US
Telephone Number	:	561-955-2700
Fax Number	:

Provider Business Practice Location Address
First Line	:	10 E PALMETTO PARK RD
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33432-4864
Country	:	US
Telephone Number	:	561-955-2700
Fax Number	:

Authorized Official
Title or Position	:	COO
Name	:	MARCELLA GRAVALESE
Credential	:
Telephone Number	:	954-665-7342

Provider Enumeration Date	:	07/09/2018
Last Update Date	:	01/11/2024

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Directions to “BOCACARE INC ” Practice Location

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