Organization
BOCA PATHOLOGY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIGUEL A BRITO JR. MD (PRESIDENT)
(561) 955-4136
Entity
Organization
Contact information
Practice address
800 MEADOWS RD, BOCA COMMUNITY HOSPITAL, BOCA RATON, FL 33486
(561) 955-4136
(561) 955-5268
Mailing address
PO BOX 63069, CHARLESTON, SC 29406
(305) 229-4311
(305) 229-4388
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
94831
BLUE CROSS BLUE SHIELD
FL
Enumeration date
03/22/2006
Last updated
08/22/2020
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