# NEUROPATHY CENTER OF BOCA RATON

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

## Provider details

- **NPI number:** 1255097408
- **Authorized official:** DR. STEVEN R JACHINO (PRESIDENT)
- **Authorized official phone:** (217) 839-3040

## Contact information

- **Practice address:** 1200 W YAMATO RD STE A8, BOCA RATON, FL 33431-4429
- **Practice address phone:** (618) 719-1179
- **Mailing address:** 2774 WOODFIELD DR, MARYVILLE, IL 62062-6476
- **Mailing address phone:** (618) 719-1179

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/11/2021
- **Last updated:** 11/11/2021