# BOCA MEDICAL SUPPLY, LLC

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

## Provider details

- **NPI number:** 1154508695
- **Authorized official:** CARL L ENGLISH (MGMR)
- **Authorized official phone:** (561) 368-7430

## Contact information

- **Practice address:** 1307 W PALMETTO PARK RD, BOCA RATON, FL 33486-3313
- **Practice address phone:** (561) 368-7430
- **Practice address fax:** (561) 368-7401
- **Mailing address:** 1307 W PALMETTO PARK RD, BOCA RATON, FL 33486-3313
- **Mailing address phone:** (561) 368-7430
- **Mailing address fax:** (561) 368-8224

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 1313416 | FL | Yes |
| 332BP3500X | Parenteral & Enteral Nutrition Supplies (DME) | — | NULL | — |
| 335E00000X | Prosthetic/Orthotic Supplier | ORF 113 | FL | — |

## Other

- **Enumeration date:** 01/28/2008
- **Last updated:** 10/18/2024