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NPI Code Detail

MEDICARE: BOCA RI LLC

MEDICARE: BOCA RI LLC
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
1324500000XSubstance Abuse Rehabilitation Facility

General Provider Information

NPI Number : 1699627315
Entity Type Code : Organization
Provider Name (Legal Business Name) : BOCA RI LLC
Provider Business Mailing Address
First Line : 225 N FEDERAL HWY
Second Line :
City : POMPANO BEACH
State : FL
Zip : 33062-4319
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4020 LAKE WORTH RD
Second Line :
City : PALM SPRINGS
State : FL
Zip : 33461-3918
Country : US
Telephone Number : 954-533-7705
Fax Number :
Authorized Official
Title or Position : CEO
Name : JOHN SORY
Credential :
Telephone Number : 954-533-7705
Provider Enumeration Date : 02/13/2026
Last Update Date : 02/13/2026

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Directions to “BOCA RI LLC ” Practice Location

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