Organization
WEST BOCA MEDICAL CENTER, INC.
Active
Other names
West Boca Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
KIM COLE (CFO)
(461) 488-8140
Entity
Organization
Contact information
Practice address
21644 STATE ROAD 7, BOCA RATON, FL 33428-1842
(561) 488-8000
Mailing address
PO BOX 741249, ATLANTA, GA 30374-1249
(561) 982-2189
(561) 488-8105
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
4283
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012024300
—
FL
01
—
070030
AVMED
—
01
—
080086
HUMANA
—
01
—
100268B000000
SECTION 1011
—
01
—
187244
COVENTRY HEALTH CARE
—
01
—
291
BCBS OF FLORIDA
—
01
—
6201580(NON-HMO)
AETNA US HEALTHCARE
—
01
—
63583(HMO)
AETNA US HEALTHCARE
—
01
—
758584410
AETNA US HEALTHCARE
—
01
—
990366
NEIGHBORHOOD HEALTH PLAN
—
01
—
WBOCA1000
NEIGHBORHOOD HEALTH PLAN
—
Enumeration date
07/08/2006
Last updated
03/24/2022
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