Organization
BOCA SURGERY SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALDO VALENCIA (CONSULTANT)
(786) 853-1470
Entity
Organization
Contact information
Practice address
408 NE 6TH ST UNIT 525, FORT LAUDERDALE, FL 33304-6412
(786) 853-1470
Mailing address
408 NE 6TH ST UNIT 525, FORT LAUDERDALE, FL 33304-6412
(786) 853-1470
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y055N
FLORIDA BLUE
FL
Enumeration date
11/05/2019
Last updated
01/03/2020
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