# BOCA RATON COMMUNITY HOSPITAL

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

## Provider details

- **NPI number:** 1316140254
- **Authorized official:** MRS. LORIE DEJONG (SUPERVISOR PHYSICAL THERAPIST)
- **Authorized official phone:** (561) 955-5437

## Contact information

- **Practice address:** 9291 GLADES RD, BOCA RATON, FL 33434-3959
- **Practice address phone:** (561) 955-5437
- **Mailing address:** 9598 PARKVIEW AVE, BOCA RATON, FL 33428-2915

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 283XC2000X | Children's Rehabilitation Hospital | PT21139 | FL | Yes |

## Other

- **Enumeration date:** 06/07/2007
- **Last updated:** 08/22/2020