Brooke Park Clinic in Boca Raton - Clinical
Brooke Park Clinic - NPI 1295786523
Brooke Park Clinic is a Clinical in Boca Raton, Florida. Brooke Park Clinic practices all healthcare services and medical treatments related to Clinical. The NPI Number for Brooke Park Clinic is 1295786523. The last update date is 2008-07-11.
Brooke Park Clinic's current location address is 4455 Nw 27th Ave, Boca Raton, Florida. You can contact this provider via phone number 5614960333 and fax number 5619984886. The mailing address for Brooke Park Clinic is 4455 Nw 27th Ave, Boca Raton, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Brooke Park Clinic |
|---|---|
| Address | 4455 Nw 27th Ave, Boca Raton, Florida |
| Phone Number | 5614960333 |
| Fax Number | 5619984886 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR |
|---|---|
| Authorized Official Name | Shumaker Gary Robert |
| Credentials | PH.D. |
| Telephone Number | 5614960333 |
NPI Number Detail
| NPI Number | 1295786523 |
|---|---|
| Provider Enumeration Date | 2006-05-12 |
| Last Updated Date | 2008-07-11 |
Provider Mailing Address Detail
| Address | 4455 Nw 27th Ave |
|---|---|
| City | Boca Raton |
| State | Florida (FL) |
| Post Code | 334345830 |
| Phone Number | 5614960333 |
| Fax Number | 5619984886 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PY0003610 |
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What is the unique 10-digit identifier code issued to Brooke Park Clinic by the Centers for Medicare & Medicaid Services?
The Brooke Park Clinic has been assigned the NPI (National Provider Identifier) 1295786523 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Brooke Park Clinic is located?
The Brooke Park Clinic is situated at the following address: 4455 Nw 27Th Ave, Boca Raton, FL, 334345830.
What is Brooke Park Clinic's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Brooke Park Clinic's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 103Tc0700X.
When did Brooke Park Clinic receive its 1295786523 assignment?
The Brooke Park Clinic was assigned its 1295786523 on 2006-05-12, which is the date when this unique identifier was issued to the organization.
When was the Brooke Park Clinic's information last updated?
The Brooke Park Clinic's information was last updated on 2008-07-11.
NPI Number: 1023011681
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