| Boca General & Family Medicine Pa | |
|
1500 Nw 10th Ave Suite 101 Boca Raton FL 33486-1312 | |
| (561) 391-2878 | |
| (561) 391-3112 |
| Full Name | Boca General & Family Medicine Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 1500 Nw 10th Ave, Boca Raton, Florida |
| Authorized Official Name and Position | William Lee Rowland (OWNER) |
| Authorized Official Contact | 5613912787 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Boca General & Family Medicine Pa 1500 Nw 10th Ave Suite 101 Boca Raton FL 33486-1312 Ph: (561) 391-2878 | Boca General & Family Medicine Pa 1500 Nw 10th Ave Suite 101 Boca Raton FL 33486-1312 Ph: (561) 391-2878 |
| NPI Number | 1073724191 |
|---|---|
| Provider Enumeration Date | 05/24/2007 |
| Last Update Date | 09/11/2007 |
| Medicare PECOS PAC ID | 6507956828 |
|---|---|
| Medicare Enrollment ID | O20071226000178 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073724191 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME#60947 (Florida) | Primary |
| Provider Name | William L Rowland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639270200 PECOS PAC ID: 5294825675 Enrollment ID: I20071221000468 |
| Provider Name | Michelle K Feffer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740705607 PECOS PAC ID: 2769743368 Enrollment ID: I20180222001148 |
| Provider Name | Daniela Olivera-parente |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114439726 PECOS PAC ID: 1658627351 Enrollment ID: I20211203000939 |
| Provider Name | Jessica Dianne Niles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770160756 PECOS PAC ID: 2466837711 Enrollment ID: I20220922001302 |
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