Organization
SUNCOAST PHARMACY OF BOYNTON BEACH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER FINNERAN (CFO)
(561) 477-9622
Entity
Organization
Contact information
Practice address
8280 JOG RD, BOYNTON BEACH, FL 33437-2938
(561) 733-6800
Mailing address
1200 S ROGERS CIR, UNIT 9, BOCA RATON, FL 33487-5703
(561) 477-9622
(561) 488-9764
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
1313217
FL
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
ORF73
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1313217
DME LICENSE
FL
01
—
ORF73
ORTHOITC FITTER
FL
Enumeration date
02/15/2007
Last updated
09/11/2025
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