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NPI Code Detail

MEDICARE: MEDICAL SPECIALISTS OF BOCA RATON INC

MEDICARE: MEDICAL SPECIALISTS OF BOCA RATON 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
1101YA0400XAddiction (Substance Use Disorder) Counselor
2174400000XSpecialist
3363L00000XNurse Practitioner
4208D00000XGeneral Practice Physician

General Provider Information

NPI Number : 1972473254
Entity Type Code : Organization
Provider Name (Legal Business Name) : MEDICAL SPECIALISTS OF BOCA RATON INC
Provider Business Mailing Address
First Line : 1301 RIVERPLACE BLVD STE 1605
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32207-9047
Country : US
Telephone Number : 877-853-9925
Fax Number :
Provider Business Practice Location Address
First Line : 1301 RIVERPLACE BLVD STE 1605
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32207-9047
Country : US
Telephone Number : 877-853-9925
Fax Number :
Authorized Official
Title or Position : DIRECTOR
Name : DR. RICHARD VEZINA
Credential : DR
Telephone Number : 877-853-9925
Provider Enumeration Date : 11/11/2025
Last Update Date : 11/11/2025

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Directions to “MEDICAL SPECIALISTS OF BOCA RATON INC ” Practice Location

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