| Bocacare East Inc | |
|
1001 Nw 13th Street Suite 201 Boca Raton FL 33486 | |
| (561) 995-7800 | |
| (561) 394-3334 |
| Full Name | Bocacare East Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1001 Nw 13th Street, Boca Raton, Florida |
| Authorized Official Name and Position | Jerry J Fedele (CEO) |
| Authorized Official Contact | 5619957800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bocacare East Inc 1001 Nw 13th Street Suite 201 Boca Raton FL 33486 Ph: (561) 995-7800 | Bocacare East Inc 1001 Nw 13th Street Suite 201 Boca Raton FL 33486 Ph: (561) 995-7800 |
| NPI Number | 1164654612 |
|---|---|
| Provider Enumeration Date | 08/18/2009 |
| Last Update Date | 08/18/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164654612 | NPI | - | NPPES |
| 07191 | Other | FL | BC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME50287 (Florida) | Primary |
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