Organization
BOCA RADIOLOGY GROUP PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH H KLEINMAN M.D. (CHIEF OPERATING OFFICER)
(561) 447-9341
Entity
Organization
Contact information
Practice address
800 MEADOWS RD, BOCA RATON, FL 33486-2304
(561) 391-1728
(561) 447-9352
Mailing address
PO BOX 810969, BOCA RATON, FL 33481-0969
(561) 447-9341
(561) 447-9352
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015388800
—
FL
01
—
CB1966
RAILROAD MEDICARE
FL
Enumeration date
05/20/2006
Last updated
11/14/2017
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