# BOCA MEDICAL SUPPLY LLC

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

## Provider details

- **NPI number:** 1063511129
- **Authorized official:** MR. CARL L ENGLISH (MANAGING MEMBER)
- **Authorized official phone:** (561) 368-7430

## Contact information

- **Practice address:** 620 GLADES RD, BOCA RATON, FL 33431-6414
- **Practice address phone:** (561) 368-7430
- **Practice address fax:** (561) 368-7401
- **Mailing address:** 620 GLADES RD, BOCA RATON, FL 33431-6414
- **Mailing address phone:** (561) 368-7430
- **Mailing address fax:** (561) 368-7401

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 2140 | FL | Yes |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | 32 4369 | FL | — |
| 335E00000X | Prosthetic/Orthotic Supplier | ORF113 | FL | — |

## Other

- **Enumeration date:** 09/22/2006
- **Last updated:** 10/18/2024