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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