| Boca Raton Medical | |
|
600 S Dixie Hwy Ste 103 Boca Raton FL 33432-6034 | |
| (561) 430-3629 | |
| (561) 990-7435 |
| Full Name | Boca Raton Medical |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 600 S Dixie Hwy Ste 103, Boca Raton, Florida |
| Authorized Official Name and Position | Deanna M Warren (EXECUTIVE DIRECTOR/CEO) |
| Authorized Official Contact | 5617356553 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Boca Raton Medical 639 E Ocean Ave Ste 409 Boynton Beach FL 33435-5017 Ph: (561) 806-6835 | Boca Raton Medical 600 S Dixie Hwy Ste 103 Boca Raton FL 33432-6034 Ph: (561) 430-3629 |
| NPI Number | 1073982831 |
|---|---|
| Provider Enumeration Date | 09/22/2015 |
| Last Update Date | 11/04/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073982831 | NPI | - | NPPES |
| 006608606 | Medicaid | FL | |
| EC290A | Other | FL | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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