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NPI Code Detail

MEDICARE: BOCA MEDICAL THERAPY

MEDICARE: BOCA MEDICAL THERAPY
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
1111N00000XChiropractorCH0006645FL
2174400000XSpecialistPT12916FL
32081S0010XSports Medicine (Physical Medicine & Rehabilitation) PhysicianOS6072FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1HCC5812OTHERFLCLINIC

General Provider Information

NPI Number : 1861487787
Entity Type Code : Organization
Provider Name (Legal Business Name) : BOCA MEDICAL THERAPY
Provider Business Mailing Address
First Line : 1000 E HILLSBORO BLVD
Second Line : SUITE 104
City : DEERFIELD BEACH
State : FL
Zip : 33441-3628
Country : US
Telephone Number : 954-363-7494
Fax Number : 954-363-7497
Provider Business Practice Location Address
First Line : 1000 E HILLSBORO BLVD
Second Line : SUITE 104
City : DEERFIELD BEACH
State : FL
Zip : 33441-3628
Country : US
Telephone Number : 954-363-7494
Fax Number : 954-363-7497
Authorized Official
Title or Position : CEO
Name : MRS. MARY TESIC
Credential :
Telephone Number : 561-338-6897
Provider Enumeration Date : 09/16/2005
Last Update Date : 05/22/2014

Similar Medicare Providers

1396730214 — DR. HARRY G MIKAZANS DC
Practice Location Address:
1000 E HILLSBORO BLVD , SUITE 104
DEERFIELD BEACH, FL
33441-3628
Practice Phone: 954-363-7494
Practice Fax: 954-363-7497
1295710762 — RAFFI TOROYAN D.O.
Practice Location Address:
1000 E HILLSBORO BLVD , SUITE 104
DEERFIELD BEACH, FL
33441-3628
Practice Phone: 954-363-7494
Practice Fax: 954-363-7497
1376865410 — MS. ADELE FIRESTAR MA
Practice Location Address:
1000 E HILLSBORO BLVD , SUITE 104
DEERFIELD BEACH, FL
33441-3628
Practice Phone: 954-363-7494
Practice Fax: 954-363-7497
1740502707 — SUSAN SIDWELL MA
Practice Location Address:
1000 E HILLSBORO BLVD , SUITE 104
DEERFIELD BEACH, FL
33441-3628
Practice Phone: 954-363-7494
Practice Fax: 954-363-7497
1528685666 — HEALTHY LIFESTYLE PHYSICAL THERAPY
Practice Location Address:
1000 E HILLSBORO BLVD STE 104
DEERFIELD BEACH, FL
33441-3628
Practice Phone: 917-642-8865
Practice Fax:
1447994223 — ZACHARY WILLIAM MORRIS
Practice Location Address:
1000 E HILLSBORO BLVD STE 104
DEERFIELD BEACH, FL
33441-3628
Practice Phone: 954-363-7494
Practice Fax:

Directions to “BOCA MEDICAL THERAPY ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.