Organization
BOCA MEDICAL SPECIALISTS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN G HOLTZCLAW MD (PRESIDENT)
(865) 293-5310
Entity
Organization
Contact information
Practice address
5870 HIATUS RD STE 200, TAMARAC, FL 33321-6424
(561) 588-4844
(561) 588-4844
Mailing address
5870 HIATUS RD STE 200, TAMARAC, FL 33321-6424
(954) 377-3172
(877) 519-4595
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
208M00000X
Hospitalist Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002107800
—
FL
Enumeration date
07/22/2006
Last updated
12/06/2017
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