BOARD OF TRUSTEES OF FLORIDA ATLANTIC UNIVERSITY (NPI# 1972688992) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972688992 |
| Entity Type | Organization |
| Organization Name | BOARD OF TRUSTEES OF FLORIDA ATLANTIC UNIVERSITY |
| Other Organization Name | FLORIDA ATLANTIC UNIVERSITY STUDENT HEALTH SERVICES |
| Practice Address |
777 Glades Rd Student Health, Bldg Ss-8w, Room 235 Boca Raton FL 33431-0991 |
| Mailing Address |
777 Glades Rd Student Health, Bldg Ss-8w, Room 235 Boca Raton FL 33431-6424 |
| Practice Telephone | 5612970704 |
| Practice Fax Number | 5612970221 |
| Mailing Telephone | 5612970704 |
| Mailing Fax Number | 5612970221 |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. CHARLES L. BROWN (VICE PRESIDENT OF STUDENT AFFAIRS) |
| Authorized Official Telephone | 5612973988 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS1000X |
Clinic/Center Specialization: Student Health |
NOT REQUIRED | FL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AMERICAN COLL HLTH ASSOC | 110 | 01 |
| Other Name | Type Code |
|---|---|
| Florida Atlantic University Student Health Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780766428 | Board of Trustees of Florida Atlantic University | Pharmacy | 777 Glades Rd, Pharmacy, Bldg Ss-8, Suite 223, Boca Raton, FL 33431-6424 | 2006-10-20 |
| Street Address |
777 GLADES RD STUDENT HEALTH, BLDG SS-8W, ROOM 235 |
| City | BOCA RATON |
| State | FL |
| Zip Code | 33431-0991 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760408074 | James Edward Galvin | Psychiatry & Neurology | 777 Glades Rd, Me104, 1st Floor, Boca Raton, FL 33431-6424 | 2006-07-14 |
| 1427674928 | Marie Connell | Nurse Practitioner | 777 Glades Rd, Boca Raton, FL 33431-6496 | 2020-06-19 |
| 1083233175 | Emily Rose Nelson | Student in an Organized Health Care Education/Training Program | 777 Glades Rd, Bc71 Room 315, Boca Raton, FL 33431-6496 | 2020-04-09 |
| 1891323085 | Ashley Elizabeth Gureck | Student in an Organized Health Care Education/Training Program | 777 Glades Rd, Boca Raton, FL 33431-6424 | 2020-04-01 |
| 1548896434 | Craig John Robinson Wilder | Preventive Medicine | 777 Glades Rd, Boca Raton, FL 33431-6496 | 2020-03-23 |
| 1265068332 | Rachel Leeann Lewis | Preventive Medicine | 777 Glades Rd, Boca Raton, FL 33431-6424 | 2020-03-20 |
| 1780210443 | Jared Goldstein | Student in an Organized Health Care Education/Training Program | 777 Glades Rd, Boca Raton, FL 33431-6424 | 2020-03-13 |
| 1487203931 | Noah Warren | Dietitian, Registered | 777 Glades Rd, Ss-8w Room 206b, Boca Raton, FL 33431-6496 | 2019-09-07 |
| 1982199428 | Allison Newsome | Specialist/Technologist | 777 Glades Rd, Boca Raton, FL 33431-6496 | 2018-06-27 |
| 1225520901 | Adam Joseph Mann | Student in an Organized Health Care Education/Training Program | 777 Glades Rd, Boca Raton, FL 33431-6424 | 2018-05-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588272868 | Lifegaines Medical and Aesthetics | Preventive Medicine | 3785 N Federal Hwy, Suite 150, Boca Raton, FL 33431 | 2020-07-22 |
| 1285258756 | Gagan Neupane | Student in an Organized Health Care Education/Training Program | Florida Atlantic University At Boca Raton, 670 Glades Road, Suite 400, Boca Raton, FL 33431 | 2020-06-01 |
| 1407477821 | Paramount Medical Specialists | Preventive Medicine | 5550 Glades Road Suite, Ste 500, #1024, Boca Raton, FL 33431 | 2020-04-27 |
| 1497398358 | Dr Beverly Pedroche Inc | Psychologist | 4400 N, Federal Highway, Suite 210-48, Boca Raton, FL 33431 | 2019-10-23 |
| 1649829656 | William I Browning | Psychologist | 4400 North Federal Highway Suite #210, Boca Raton, FL 33431 | 2019-09-11 |
| 1275188898 | East Boca Pharmacy LLC | Pharmacy | 4800 Nw 2nd Ave, Suite 3, Boca Raton, FL 33431 | 2019-08-09 |
| 1790330504 | Connected Warriors | Psychologist | 950 Communications Ave Suite 115, Boca Raton, FL 33431 | 2019-08-08 |
| 1831652734 | Limitless Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 2263 Nw Boca Blvd, Ste 201, Boca Raton, FL 33431 | 2019-04-09 |
| 1659841211 | Tlc Medical Solutions | Durable Medical Equipment & Medical Supplies | 4800 Nw Boca Raton Blvd Suite 5, Boca Raton, FL 33431 | 2018-11-27 |
| 1750872545 | Sunstate Physicians LLC | Internal Medicine | 2234 N Federal Hwy Ste 531, Boca Raton, FL 33431 | 2018-05-29 |
| Find all providers in zip 33431 | ||||
| Taxonomy Code | 261QS1000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Student Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255541850 | Florida Atlantic University | Clinic/Center | 777 Glades Rd, Boca Raton, FL 33431-6424 | 2007-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831724939 | William A Butler | Clinic/Center | 250 E Colonial Dr Ste 200, Orlando, FL 32801-1231 | 2020-03-09 |
| 1215561832 | Michael Morgan | Clinic/Center | 2498 S 35th St, Fort Pierce, FL 34981-5573 | 2020-02-24 |
| 1225564073 | Michelle Henne, M.d., P.a. | Clinic/Center | 1510 S Lake Rochelle Dr, Winter Haven, FL 33881-9645 | 2017-05-11 |
| 1437692662 | Health Careers and Tutoring Inc | Clinic/Center | 10580 Nw 29th Mnr, Sunrise, FL 33322-1024 | 2016-11-20 |
| 1104225663 | Florida Keys Area Health Education Center, Inc. | Clinic/Center | 5800 Overseas Hwy Ste 38, Marathon, FL 33050-2744 | 2014-08-20 |
| 1356757298 | Florida International University | Clinic/Center | 1180 Sw 113th Ave, Arena Room 156, Miami, FL 33174 | 2014-07-10 |
| 1265737399 | Wound Technology Network | Clinic/Center | 19736 Sw 130th Avenue Rd, Miami, FL 33177-4010 | 2011-01-20 |
| 1730418641 | University of North Florida Student Medical Service | Clinic/Center | 1 Unf Drive, Building 39a Room 2098, Jacksonville, FL 32224-7699 | 2009-12-24 |
| 1720293665 | University Health Services-florida International University-bbc | Clinic/Center | 3000 Ne 151 Street, N. Miami, FL 33181-3605 | 2007-05-14 |
| 1326260928 | Health Depot Inc | Clinic/Center | 7919 Ne 2nd Ave, Miami, FL 33138 | 2007-05-03 |
| Find all providers with the same taxonomy | ||||
| City | BOCA RATON |
| Zip Code | 33431 |
Please comment or provide details below to improve the information on BOARD OF TRUSTEES OF FLORIDA ATLANTIC UNIVERSITY.
| 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.