| Boca Raton Neurologic Associates Pa | |
|
1050 Nw 15th St Suite 216-a Boca Raton FL 33486-1375 | |
| (561) 338-8484 | |
| (561) 338-8492 |
| Full Name | Boca Raton Neurologic Associates Pa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1050 Nw 15th St, Boca Raton, Florida |
| Authorized Official Name and Position | Bruce R Kastin (OWNER) |
| Authorized Official Contact | 5613388484 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Boca Raton Neurologic Associates Pa 1050 Nw 15th St Suite 216-a Boca Raton FL 33486-1375 Ph: (561) 338-8484 | Boca Raton Neurologic Associates Pa 1050 Nw 15th St Suite 216-a Boca Raton FL 33486-1375 Ph: (561) 338-8484 |
| NPI Number | 1083676035 |
|---|---|
| Provider Enumeration Date | 04/05/2006 |
| Last Update Date | 06/12/2008 |
| Medicare PECOS PAC ID | 4981737145 |
|---|---|
| Medicare Enrollment ID | O20100809000833 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083676035 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | ME 66113 (Florida) | Primary |
| Provider Name | Annet Ella Falchook |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770658882 PECOS PAC ID: 2860524972 Enrollment ID: I20100723000959 |
| Provider Name | Lorin Michael Graef |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1750343703 PECOS PAC ID: 8123151396 Enrollment ID: I20100902000631 |
| Provider Name | Adam D Falchook |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1780773465 PECOS PAC ID: 8426226408 Enrollment ID: I20110718000567 |
| Provider Name | Douglas J Black |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1598753832 PECOS PAC ID: 3274677075 Enrollment ID: I20210326000644 |
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