NPI 1659762235

Bicol MD PA

Organisation Exclusive Provider Organization Boca Raton, FL

Practice location

Address: 951 NW 13th St STE 3e, Boca Raton, FL 33486-2337
Phone: (561) 368-5558
Fax: (561) 368-7907

Authorised official

Name: Mitchell Schuster
Title: Medical Doctor
Phone: (561) 368-5558

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence ME79854 (FL)

Other Exclusive Provider Organization providers in Florida →

Registry record

NPI: 1659762235
Entity type: Organization
NPI issued: 18 Feb 2015
Record last updated: 18 Feb 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.