Organization
EAST COAST MEDICAL ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRYAN SHAUN VINIK M.D. (PRESIDENT)
(561) 391-1085
Entity
Organization
Contact information
Practice address
1500 NW 10TH AVE, SUITE 205, BOCA RATON, FL 33486-1312
(561) 391-1085
(561) 391-1449
Mailing address
1500 NW 10TH AVE, SUITE 205, BOCA RATON, FL 33486-1312
(561) 391-1085
(561) 391-1449
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
FL
332900000X
Non-Pharmacy Dispensing Site
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
39479
BCBS
FL
Enumeration date
08/19/2006
Last updated
05/19/2023
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