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Organization

BOCA MEDICAL SUPPLY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. CARL L ENGLISH (MANAGING MEMBER)
(561) 368-7430
Entity
Organization

Contact information

Practice address
620 GLADES RD, BOCA RATON, FL 33431-6414
(561) 368-7430
(561) 368-7401
Mailing address
620 GLADES RD, BOCA RATON, FL 33431-6414
(561) 368-7430
(561) 368-7401

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
2140
FL
332BX2000X
Oxygen Equipment & Supplies (DME)
32 4369
FL
335E00000X
Prosthetic/Orthotic Supplier
ORF113
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
031820500
FL
01
R9455
BLUE CROSS BLUE SHIELD
FL
Enumeration date
09/22/2006
Last updated
10/18/2024
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