Organization
BOCACARE EAST INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERRY J FEDELE (CEO)
(561) 995-7800
Entity
Organization
Contact information
Practice address
1001 NW 13TH STREET, SUITE 201, BOCA RATON, FL 33486
(561) 995-7800
(561) 394-3334
Mailing address
1001 NW 13TH STREET, SUITE 201, BOCA RATON, FL 33486
(561) 995-7800
(561) 394-3334
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME50287
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07191
BC
FL
Enumeration date
08/18/2009
Last updated
08/18/2009
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