# BOCA RATON ORTHOPEDIC ASSOCIATES PL

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

## Provider details

- **NPI number:** 1285734418
- **Authorized official:** MARC BERGMAN M.D. (PRESIDENT)
- **Authorized official phone:** (561) 241-8668

## Contact information

- **Practice address:** 1905 CLINT MOORE RD, SUITE 214, BOCA RATON, FL 33496-2658
- **Practice address phone:** (561) 241-8668
- **Practice address fax:** (561) 912-9556
- **Mailing address:** 1905 CLINT MOORE RD, SUITE 214, BOCA RATON, FL 33496-2658
- **Mailing address phone:** (561) 241-8668
- **Mailing address fax:** (561) 912-9556

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/25/2006
- **Last updated:** 08/04/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | BS38459 | BLUE CROSS BLUE SHIELD | FL |