Organization
BOCHE CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OSVALDO VALDES (PRESIDENT)
(305) 431-8005
Entity
Organization
Contact information
Practice address
100 KINGS POINT DR APT 1121, SUNNY ISLES BEACH, FL 33160-4785
(305) 945-1921
Mailing address
100 KINGS POINT DR, 1121, SUNNY ISLES BEACH, FL 33160-4774
(305) 431-8005
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1376522961
NPI
FL
Enumeration date
08/14/2010
Last updated
10/26/2010
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