BOCA FAMILY MEDICAL GROUP CORP


Address: 7280 W Palmetto Park Rd, Suite 104, Boca Raton, FL 33433-3422
Phone: 5613916552

BOCA FAMILY MEDICAL GROUP CORP (NPI# 1366730129) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1366730129
Entity Type Organization
Organization Name BOCA FAMILY MEDICAL GROUP CORP
Practice Address 7280 W Palmetto Park Rd
Suite 104
Boca Raton
FL 33433-3422
Practice Telephone 5613916552
Practice Fax Number 5613916285
Mailing Telephone 5613916552
Mailing Fax Number 5613916285
Enumeration Date 2011-07-14
Last Update Date 2011-07-14
Authorized Official Name MIRNA WAIDELE (PRESIDENT)
Authorized Official Telephone 5613916552
Authorized Official Credential PA-C
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine Allopathic & Osteopathic Physicians

Office Location

Street Address 7280 W PALMETTO PARK RD
SUITE 104
City BOCA RATON
State FL
Zip Code 33433-3422

Providers in the same location

NPI Name Taxonomy Address Enumeration
1194720268 Angelos N Manganiotis Specialist 7280 W Palmetto Park Rd, Suite 305, Boca Raton, FL 33433-3422 2005-06-16
1871997106 Marisol Ruiz Dentist 7280 W Palmetto Park Rd, Suite 206-n, Boca Raton, FL 33433-3422 2014-10-15
1609173061 Nicusor Ieremia Md Pa Internal Medicine 7280 W Palmetto Park Rd, S103, Boca Raton, FL 33433-3422 2011-02-22
1760704134 Mirna Waidele Pa C Inc Physician Assistant 7280 W Palmetto Park Rd, Suite 104, Boca Raton, FL 33433-3422 2010-02-25
1235276627 Kembeat Overseas Investments Pa Physician Assistant 7280 W Palmetto Park Rd, Suite 104, Boca Raton, FL 33433-3422 2007-02-01
1801949367 Paul Marsden Murry Internal Medicine 7280 W Palmetto Park Rd, Suite 104, Boca Raton, FL 33433-3422 2007-01-19
1235230194 Urology Associates of South Florida Plc Urology 7280 W Palmetto Park Rd, Suite 305, Boca Raton, FL 33433-3422 2006-09-25
1780691436 Philip Thomas Britton Nurse Practitioner 7280 W Palmetto Park Rd, N207, Boca Raton, FL 33433 2006-08-02
1043230543 Jeffrey S Siegel Dentist 7280 W Palmetto Park Rd, Suite 206n, Boca Raton, FL 33433-3422 2006-07-20
1134148455 Andrew H Rosenthal Specialist 7280 W Palmetto Park Rd, Suite 305, Boca Raton, FL 33433-3422 2006-07-18
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1245830785 Keith Marley Thompson Behavior Technician 6885 B-5 Sw 18th St., Boca Raton, FL 33433 2020-10-26
1467084921 Jessica Lori Woytanowski Speech-Language Pathologist 21345 Powerline Rd, Boca Raton, FL 33433 2020-02-12
1497387211 Nida Aziz Psychologist 6885 B-5 Sw 18th St, Boca Raton, FL 33433 2020-02-10
1124667993 Melanie Simon Occupational Therapist 21345 South Powerline Rd, Suite 100, Boca Raton, FL 33433 2019-12-27
1386288629 Lisheyna S Hurvitz Counselor 22715 Camino Del Mar, # 35, Boca Raton, FL 33433 2019-10-30
1982253076 Monika La Nuez, Lcsw, LLC Social Worker 6919 Sw 18th Street, Suite 200-239, Boca Raton, FL 33433 2019-09-10
1336795731 United Spectrum Center Day Training, Developmentally Disabled Services 3845 West Hillsboro Blvd, Deefield Beach, FL 33433 2019-08-13
1780147678 Teleemc LLC Clinic/Center 21346 St. Andrews Blvd., Suite 195, Boca Raton, FL 33433 2019-04-09
1619446283 Meryl Zigila Occupational Therapist 6327 Via De Sunrisa Del Sur, Boca Raton, FL 33433 2018-11-13
1730665522 Prissy Graciela Rampaly Rangel Physician Assistant 23090 Post Gardens Way Apt 307, Boca Raton, FL 33433 2018-07-14
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1134728561 Invision Health Florida, LLC Family Medicine 7100 Camino Real Ste 200, Boca Raton, FL 33433-5510 2020-10-17
1710584537 Daniel Beck Family Medicine 6511 Via Regina, Boca Raton, FL 33433-3910 2020-10-05
1265057715 Danit Fischtein Family Medicine 8350 Via Serena, Boca Raton, FL 33433-2235 2020-06-10
1396366209 Mirna L Avendano Family Medicine 4998 Nw 3rd Ter, Boca Raton, FL 33431-4767 2020-05-01
1083256168 Glutality Provider Group, P.a. Family Medicine 6800 Broken Sound Pkwy Nw Ste 150a, Boca Raton, FL 33487-5709 2019-10-10
1912401027 Matthew Morrison Family Medicine 64 S Federal Hwy, Boca Raton, FL 33432-4805 2018-03-22
1588013049 Dianela Medina Vega Family Medicine 2900 N Military Trl Ste 201, Boca Raton, FL 33431-6308 2016-06-06
1265822712 Betsy Leibowitz Family Medicine 101 Plaza Real S Ste A, Boca Raton, FL 33432-4855 2015-02-04
1629487939 Duhaney Medical, P.a. Family Medicine 9808 Grand Verde Way, 802, Boca Raton, FL 33428-3516 2014-08-12
1699106948 John Habib Hanna Family Medicine 1180 South Ocean Blvd, Suite Number 10-a, Boca Raton, FL 33432-7639 2013-12-11
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Competitor

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City BOCA RATON
Zip Code 33433

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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