# BOCA VALLEY MEDICAL SUPPLY INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013674183
- **Authorized official:** ALAN RAFAEL (PRESIDENT)
- **Authorized official phone:** (917) 952-5030

## Contact information

- **Practice address:** 7491 N FEDERAL HWY STE C11, BOCA RATON, FL 33487-1688
- **Practice address phone:** (561) 680-2030
- **Practice address fax:** (561) 680-2299
- **Mailing address:** 1712 E 16TH ST, BROOKLYN, NY 11229-2926
- **Mailing address phone:** (917) 952-5030

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 11/23/2021
- **Last updated:** 01/24/2022